Value-Based Reimbursement Answer Book Provides Framework for Healthcare's New Value Proposition

Sea Girt, NJ, November 10, 2014 --(PR.com)-- The healthcare industry trend toward fee for quality has raised questions from payors and providers alike on how to transition to and profit from a value-based delivery system.

The "Value-Based Reimbursement Answer Book: 97 FAQs on Healthcare Models, Measures and Methodologies" tackles these concerns, mining the experiences of nearly a dozen healthcare thought leaders, who share expertise and best practices on payment models, quality metrics, methodologies and provider engagement tactics.

This 65-page report draws from initiatives at WellPoint, Highmark, and Blue Cross Blue Shield of Michigan, and offers advice from Optum, Navigant, Healthcare Strategy Group and others, structuring experts' give-and-take in an easy-to-follow Q&A format.

Get answers to frequently asked questions about value-based healthcare and reimbursement at http://store.hin.com/product.asp?itemid=4950

Newa Facts: The Value-Based Reimbursement Answer Book is divided into five key sections: Value-Based Reimbursement Models, Metrics and Risk Measurement, Provider Engagement and Education, Methodologies and Data Analytics, and Provider-Specialist Collaborations.

A sampling of queries addressed in this Answer Book includes the following:

-What are guidelines for specialist compensation?
-How do you measure Meaningful Use improvement?
-What are common struggles of physician practices in value-based models?
-What types of data exchange facilitate value-based reimbursement?
-What are components of the care compact between specialists and primary care providers in WellPoint's medical home neighborhood?

Contributors:

-Travis Ansel, MBA, manager of strategic services, Healthcare Strategy Group;
-Julie Hobson, RN, BSN, manager of provider engagement, performance and partnership at Highmark Inc.;
-Cynthia Kilroy, senior vice president of provider strategy and business development at Optum;
-Robert Krebbs, director of payment innovation at WellPoint, Inc.,;
-Terry McGeeney, MD, MBA, director of BDC Advisors;
-Gregory Mertz, MBA, FACMPE, managing director of Physician Strategies Group, LLC;
-Donna Saxton, field team manager, Blue Cross Blue Shield of Michigan (BCBSM) value partnerships program;
-Julie Schilz, director of care delivery transformation for WellPoint;
-Catherine Sreckovich, managing director, healthcare, Navigant;
-Jay Sultan, associate vice president and chief product portfolio architect for TriZetto®; and
-Steven Valentine, president, The Camden Group.

Report Formats: Print, Instant PDF Download or Enterprise Site License.

Quote Attributable to Melanie Matthews, HIN Executive VP and COO:

"While public and private healthcare payors increasingly reward value over volume, much of the industry remains fixed in a Fee for Service world. The Value-Based Reimbursement Answer Book is a quick reference to the top queries we receive on emerging payment models, from the recommended frequency of provider payouts to crafting a time line for a pay for performance program to mining non-EHR sources for patient and quality data. This resource will prepare administrators to address the tough questions that accompany a shift to value-based care delivery and reimbursement."

For Melanie Matthews' profile, please visit http://www.hin.com/bios.html#mm.

Please contact Patricia Donovan to arrange an interview or to obtain additional quotes.

Get answers to frequently asked questions about value-based healthcare and reimbursement at http://store.hin.com/product.asp?itemid=4950.

About the Healthcare Intelligence Network — HIN is the premier advisory service for executives seeking high-quality strategic information on the business of healthcare. For more information, contact the Healthcare Intelligence Network, PO Box 1442, Wall Township, NJ 07719-1442, (888) 446-3530, fax (732) 449-4463, e-mail info@hin.com, or visit http://www.hin.com.