Value-Based Payment Incentives Heighten Hospitals' Focus on Quality, Efficiency, and Readmissions

     Value-Based Payment Incentives Heighten Hospitals' Focus on Quality,
                         Efficiency, and Readmissions

Briefing by The Advisory Board Company provides front-line view and CMS
official's perspective on what is -- and is not -- working in health care
payment transformation

PR Newswire

WASHINGTON, Feb. 4, 2013

WASHINGTON, Feb. 4, 2013 /PRNewswire/ --Senior policymakers attended an event
hosted by The Advisory Board Company on Friday on Capitol Hill that focused on
real-life efforts of health systems around the country to improve patient care
under three new Medicare value payment programs: the Readmissions Reduction
Program, Hospital-Acquired Conditions penalties, and Value-Based Purchasing

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A panel of senior executives from three leading health systems discussed their
experiences with these payment changes, explaining how their organizations are
responding to these initiatives and how these efforts are impacting patient
care on the front lines. Even within the current fee-for-service
reimbursement model, numerous health systems are developing strategies to
address gaps in quality and efficiency of care, with care coordination and
powerful analytic tools playing important roles.

Policy advisors from Congress, the Administration, HHS, and leading think
tanks around D.C. attended the event in order to better understand the
implications of the three key payment reforms that the Centers for Medicare
and Medicaid Services (CMS) has introduced. Jonathan Blum, CMS Deputy
Administrator and Director for the Center of Medicare, underscored the
significance of these initiatives in a keynote address.

The panel discussion included:

  oThomas Heleotis, MD, Chief Medical Officer of Monmouth Medical Center in
    Long Branch, N.J.;
  oAnn Hendrich, RN, Ph.D, Chief Nursing Officer at Ascension Health in St.
  oChristopher Lloyd, Chief Executive Officer at Memorial Hermann Physician
    Network in Houston;
  oChristopher Dawe, Director of Delivery System Reform at the Department of
    Health and Human Services in Washington, D.C.; and
  oEric Fontana, Practice Manager, Research and Insights at The Advisory
    Board Company in Washington, D.C.

Friday's session was the latest in a series of Reports from the Front
Linesbriefings on the practical impact of health care transformation
sponsored by The Advisory Board Company.  As reforms continue to be
introduced by CMS and are potentially replicated by private payers, providers
are rethinking how to better organize care to reduce readmissions and deliver
greater value over the entire episode of care. Beyond Medicare's incentives,
the most powerful motivation to address these issues seem to be public- and
private-sector bundled payment, shared savings, and capitation payment

"TheseReports from the Front Linesevents are designed to help health policy
leaders understand the current state of the U.S. health care system,"
saidFrederick Isasi, Senior Health Policy Advisor and Managing Director,
Government Strategies at The Advisory Board Company. "In particular, we aim
to bring new information from a wide range of providers across the nation to
the policy community. We believe that providing this information in a
nonpartisan and unbiased manner is critical to ensuring that national efforts
to transform healthcare are effective and scalable."

"The panelists telling their real-life stories to senior policy leadership is
tremendously helpful in informing the design of value-based care and patient
satisfaction programs that will achieve the key aims of reducing readmissions,
adhering to evidence-based processes, and elevating overall patient
experience," said Tom Cassels, Executive Director, Research and Insights at
The Advisory Board Company.

The Advisory Board Company employs more than 2,000 professionals worldwide and
gathers authoritative insights from the on-the-ground experience of its
network of 150,000 leaders at 3,100 health care institutions in all 50 states
and theDistrict of Columbia. All told, The Advisory Board Company sponsors
more than 180 national meetings annually for its members in 46 content areas;
these draw more than 11,000 attendees.

The Advisory Board Company's members include the senior leadership of 99 of
the 100 largest health care systems inthe United States and all 17 of
theU.S. News and World Report"honor roll" hospitals. In addition, the
firm's membership includes more than 1,000 small-to-medium-sized community
hospitals and provider organizations. 

For more information on The Advisory Board Company's health policy work,
please visit ourhealth policy home page,

About The Advisory Board Company
The Advisory Board Company is a global technology, research, and consulting
firm partnering with organizations across health care and higher
education.Through its innovative membership model, the firm collaborates with
executives and their teams to elevate performance and solve their most
pressing challenges. The company provides strategic guidance, actionable
insights, web-based software solutions, and comprehensive implementation and
management services. For more information about The Advisory Board Company,

SOURCE The Advisory Board Company

Contact: Pete Simpkinson, The Advisory Board Company, +1-202-266-6645,
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