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

Mon Feb 4, 2013 9:30am EST

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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
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

(Logo:  )

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:

* Thomas Heleotis, MD, Chief Medical Officer of Monmouth Medical Center in  Long
Branch, N.J.;  
* Ann Hendrich, RN, Ph.D, Chief Nursing Officer at Ascension Health in  St.
* Christopher Lloyd, Chief Executive Officer at Memorial Hermann Physician
Network in  Houston;  
* Christopher Dawe,  Director of Delivery System Reform at the Department of
Health and Human Services in  Washington, D.C.; and  
* Eric 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 Lines
briefings 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 arrangements.   

"These Reports from the Front Lines events are designed to help health policy
leaders understand the current state of the U.S. health care system," said
Frederick 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 the
District 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 in the  United States  and all 17 of the U.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 our health 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, visit   

SOURCE  The Advisory Board Company

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

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