It’s Time For A New Value-Based Utilization Management Model

It’s Time For A New Value-Based Utilization Management Model

  • January 12, 2015

Today The Morning Consult featured Matthew Zubiller's description of a next-generation UM model that helps payers and providers collaboratively measure, manage, and refine high-quality care delivery while reducing administrative costs. Read how Zubiller's UM model works while helping balance stakeholders’ concerns

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How We Can Make Healthcare Payment And Delivery Reform Work

How We Can Make Healthcare Payment and Delivery Reform Work

  • January 9, 2015

As we move from fee-for-service to value-based care, payers and providers struggle to contend with the many reform models being tested and implemented. To successfully make the transition, stakeholders need to address these five critical pieces: • Shared risk for all stakeholders • A robust primary care foundation • The alignment of payment models and incentives • Information technology that supports such alignment • Strong regional collaboration Experts from McKesson Health Solution describe how to get it done in How We Can Make Healthcare Payment and Delivery Reform Work. Read now or download and read later  

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The 2014 State Of Value-Based Reimbursement Buzz

The 2014 State of Value-Based Reimbursement Buzz

  • December 29, 2014

McKesson's eye-opening study, The 2014 State of Value-Based Reimbursement, has had the industry talking since it was released in June. The study, which found rapid movement towards value-based models, was covered widely by the healthcare media and consumer press over the past six months. Here's a year-end wrap-up featuring some of the dozens of stories the research's insights sparked (in alphabetical order): American Journal of Managed Care Survey Reveals that Value-Based Reimbursement is on the Rise Becker's Hospital CFO New Reimbursement Models to Eclipse Fee-for-Service by 2020 Does more value mean less profit? How to keep pay-for-performance from hurting hospital income Dallas Morning News Landers:…

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Webinar: A Update On McKesson’s VBR Research

Webinar: A update on McKesson’s VBR research

  • November 10, 2014

You probably heard about McKesson's The 2014 State of Value-Based Reimbursement research, released in June at AHIP Institute 2014. What you haven't heard is the latest update to this research, which includes quotes from interview subjects who participated in this important research project. Dr. Andrei Gonzales, director of value-based reimbursement at McKesson Health Solutions, and Dana Benini, vice president at ORC, shared the latest insights into the industry's transformation from volume to value during a November 12 webinar: Payer and Provider Insights on Reimbursement Models. They shared which reimbursement models are gaining traction, how decisions around VBR models are influenced by regional factors.…

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Webinar: A Update On McKesson’s VBR Research

Webinar: A update on McKesson’s VBR research

  • November 10, 2014

You probably heard about McKesson's The 2014 State of Value-Based Reimbursement research, released in June at AHIP Institute 2014. What you haven't heard is the latest update to this research, which includes quotes from interview subjects who participated in this important research project. Dr. Andrei Gonzales, director of value-based reimbursement at McKesson Health Solutions, and Dana Benini, vice president at ORC, shared the latest insights into the industry's transformation from volume to value during a November 12 webinar: Payer and Provider Insights on Reimbursement Models. They shared which reimbursement models are gaining traction, how decisions around VBR models are influenced by regional factors.…

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McKesson Health Solutions Conference 2014 Opens Today

  • October 27, 2014

This year’s MHSC 2014, an exclusive gathering of healthcare industry leaders convening at the Baltimore Marriott Waterfront and running through October 30th, brings payers and providers together against the backdrop of a healthcare industry in transition, challenged by the rapid pace of healthcare payment model transformation. Dozens of experts from McKesson’s customer roster and solution areas will be on hand to share and discuss their experiences, best practices, and technology insights to help attendees tackle the unprecedented challenge of running complex reimbursement models at scale across markets. Attendees will be joined by MHS’s new president, Rod O’Reilly, a 12-year McKesson veteran…

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Quality And Cost: Healthcare Leaders Learn How To Redefine Value

Quality and Cost: Healthcare Leaders Learn How to Redefine Value

  • October 9, 2014

Insurance News Net covers the movement towards publishing quality and safety metrics to improve healthcare and lower costs. McKesson medical director David Nace, MD, was quoted about the need for providers and payers to collaborate in order to move towards value-based care, and that physician buy-in is crucial to the success of value-based reimbursement. Read the full article

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Can Efficient Network Management Bring You Closer To Value-based Reimbursement?

Can Efficient Network Management Bring You Closer to Value-based Reimbursement?

  • October 2, 2014

There is a cascading inefficiency problem in many network management approaches today. Chances are your network management is using multiple data sources, still relying on paper-driven processes, struggling with long cycle times, or built on an older platform that has not integrated multiple systems well. Worse still, these administrative mistakes and nuisances may be holding you back from the solid foundation your systems need to enact successful value-based reimbursement in the future. As the industry changes, one of the keys to success is putting the technology in place to have more flexible financial and network systems. Due to government reform,…

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How Do You Pay For Value-based Care?

How Do You Pay for Value-based Care?

  • October 1, 2014

"Although no one yet knows where the sea change of value-based payment is headed, there's no doubt that this is a trend with longevity," writes Amber Taufen, a writer for Benefits Pro. In her thorough look at value-based models, she examines the trends, the challenges and new strategies for lowering the nation's medical bill. Taufen also quotes leading experts on value-based reimbursement, including McKesson VP and Medical Director David Nace, MD, who explains what's driving the shift to value based care: "We know so clearly that higher-value care—more preventive care, more evidence-based care, more patient-centered care where the patient is engaged—is usually…

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How Do You Pay For Value-based Care?

How Do You Pay for Value-based Care?

  • September 25, 2014

An article in Benefits Pro bemoans the lack of unified metrics to determine how to define value in value-based care. McKesson VP and Medical Director David Nace, MD, said in the article: “Every payer has different metrics and different methods of payment. That’s the wild cowboy market economy we’re in, and we need to move toward alignment.” The article asks who is leading the standardization and covers other issues such as the need for metrics on which to base measurement of care value. Read the full article 

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