Tue, 16 May 2017
MediStrategy with Kip Piper Episode 10: Value-Based Purchasing with Healthcare Consultant Nancy Kohler of Sellers Dorsey Summary Savvy consumers seek the best value for their money, evaluating the benefits of a product prior to purchase. Elsewhere in the economy, it seems obvious that we should hold a manufacturer accountable for delivering a quality product. With health care reform, this concept has at last been applied to medical care via the value-based purchasing model. Rather than simply paying fee-for-service which rewards volume, health care consumers, health plans, and purchasers - state Medicaid programs, federal Medicare program, and employers - can hold providers responsible for outcomes. As a consultant with Sellers Dorsey, Nancy Kohler provides assistance in federal and state health policy issues, financial analysis, and project management. Before joining the firm, she played a key role in the implementation and operational aspects of the Statewide Quality Care Assessment for the Pennsylvania Department of Human Services. The initiative provided millions of dollars in revenue to the Commonwealth's many hospitals and modernized Pennsylvania Medicaid hospital reimbursement. Ms. Kohler's comprehensive portfolio of experience includes both large and small scale public health program operations, policy development and fiscal analysis. She spent 20-plus years at KePRO, dedicating the last six years of her tenure as the vice president of public programs. Nancy Kohler has her master’s degree in Health Services Administration and is a Registered Health Information Administrator and Certified Professional in Healthcare Quality. In this episode, she outlines the core characteristics of the value-based purchasing model, the challenges faced by Medicaid in transitioning to value-based purchasing, and the federal and state collaboration key to further reform efforts. Well-versed in how current legislative proposals might affect value-based purchasing, Kohler explores Congress' efforts to repeal and replace the ACA, the fate of MACRA, and HHA Secretary Price’s advocacy for relief from administrative burdens. Subscribe in iTunes | Stitcher | SoundCloud | Libsyn | RSS Feed Topics Covered [2:48] How Kohler got involved in value-based purchasing
[6:47] Goals of value-based purchasing model
[7:36] Core characteristics of value-based purchasing
[11:01] Challenges faced by Medicaid in transition to value-based purchasing
[14:08] The role of the state with respect to value-based purchasing
[20:38] The role of federal collaboration in furthering state level reforms in payment and care delivery
[27:03] Kohler’s work to further value-based purchasing initiatives
[30:37] How proposed legislation to repeal and replace the ACA may affect value-based purchasing
[35:54] The pace of value-based purchasing initiatives
[42:27] The shift of risk to providers
[44:56] How the Medicare Access and CHIP Reauthorization Act (MACRA) fits within payment reform
Connect with Nancy Kohler and Sellers Dorsey Connect with Kip Piper, MA, FACHE, Host of MediStrategy About MediStrategy and Kip Piper The MediStrategy podcast offers informative interviews with healthcare leaders and insights on hot business and policy issues in Medicare, Medicaid, and health reform. Health executives, policymakers, entrepreneurs, authors, and other influencers share challenges and opportunities in America’s rapidly changing $3.2 trillion health care system. MediStrategy is hosted by Kip Piper, a top expert on Medicaid, Medicare, and health reform. A prominent consultant, speaker, and author, Kip Piper advises health plans, state Medicaid agencies, hospitals and health systems, provider associations, life sciences companies, and investment firms. Subscribe in iTunes | Stitcher | SoundCloud | Libsyn | RSS Feed
Direct download: MediStrategy_with_Kip_Piper__Ep_10_-_Nancy_Kohler_Value_Based_Purchasing.mp3
Category:Science and Medicine -- posted at: 3:27am EDT |