In the rapidly changing atmosphere of healthcare reform, value based purchasing is emerging as an effective strategy for decreasing healthcare costs, while improving quality outcomes. This course focuses on value based purchasing as it relates to the payer setting. In this course, you will learn about value based purchasing, the need for it within the greater healthcare reform context, current value based purchasing models, and the common goals, benchmarks and measurements that are utilized in value based purchasing.
Section 1: Introduction A. About this Course B. Learning Objectives Section 2: General Concepts A. Defining Value Based Purchasing B. Fee-For-Service Models C. The Four Dimensions D. The Healthcare Triple Aim E. Review F. Summary Section 3: Healthcare Reform A. An Unsustainable Cost B. History of VBP C. Adoption of VBP D. The Shift to VBP Programs E. Benefits for Consumers F. Benefits for Providers G. Benefits for Payers H. Review I. Summary Section 4: Common VBP Models A. Various Models B. Modified Fee-For-Service VBP C. Shared Savings VBP D. Population Based VBP E. Bundled Payment VBP F. Review G. Summary Section 5: Goals, Benchmarks, and Measurements A. Goals of VBP B. Benchmarks for VBP Program Design C. Use of Benchmarks in VBP D. Pros and Cons E. VBP Quality Measures F. Modified Fee-For-Service G. Shared Savings and Population Based VBP H. Bundled Payment Measures I. Summing It All Up J. Review K. Summary Section 6: Conclusion A. Summary B. Course Contributor C. Resources D. References E. Congratulations
Danyell Jones is a recognized leader in the healthcare industry with more than 10 years of diverse experience at the executive level. Ms. Jones has been published in a number of leading healthcare industry magazines and journals, and has been responsible for the development and execution of training programs for some of the nation’s largest Managed Care, Insurer, Provider, and Health System organizations. Disclosure: Danyell Jones has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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