Transitioning To Value-Based Payment: Five Best Practices For Success DST RADIO podcast

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Species Unite

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Andrew Stein: Living with Lions 46:39

7 days ago46:39

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46:39

“If we march into that village and we start trying to persecute people for using poison, something that's very illegal, nobody's going to talk to us. We're not going to find out where the poison came from. We're not going to be able to shut anything down. We should take the approach that people are using poison because they're desperate, because they see no other alternative.” – Andrew Stein Andrew Stein is a wildlife ecologist who spent the past 25 years studying human carnivore conflict from African wild dogs and lions in Kenya and Botswana to leopards and hyenas in Namibia. His work has long focused on finding ways for people and predators to coexist. He is the founder of CLAWS , an organization based in Botswana that's working at the intersection of cutting-edge wildlife research and community driven conservation. Since its start in 2014 and official launch as an NGO in 2020, CLAWS has been pioneering science-based, tech-forward strategies to reduce conflict between people and carnivores. By collaborating closely with local communities, especially traditional cattle herders, CLAWS supports both species conservation and rural livelihoods—making coexistence not just possible, but sustainable.…

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Transitioning to Value-Based Payment: Five Best Practices for Success

7 years ago 14:00

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MP3•Laman utama episod

Value-based Payment (VBP) seeks to tie healthcare payment compensation to measurable improvements in the quality of care in an effort to achieve the Triple Aim: an improved care experience, and better health, at an affordable price. Here, DST Health Solutions’ Adele Allison discusses VBP, explaining what it is, what it means for health plans, why it is a good thing, and most importantly what plans can do to build a transition strategy.

21 episod

#Healthcare #Health Insurance #Health Plans #Pbm #Population Health #Technology #The ValueBased Care #Fitness #DST RADIO #Health and Well-Being #Payer #Pharmaceutical

DST RADIO

Transitioning to Value-Based Payment: Five Best Practices for Success

DST RADIO

published 7 years ago

Kongsi

MP3•Laman utama episod

21 episod

#Healthcare #Health Insurance #Health Plans #Pbm #Population Health #Technology #The ValueBased Care #Fitness #DST RADIO #Health and Well-Being #Payer #Pharmaceutical

Semua episod

DST RADIO

1
Transitioning to Value-Based Payment: Five Best Practices for Success 14:00

7 years ago14:00

14:00

DST RADIO

1
Does Your Strategy for Quality Outcomes Maximize Potential of MTM CMR? 10:00

7 years ago10:00

10:00

CMS added the MTM CMR completion rate measure to Star Ratings for Medicare plans in 2016. Since then, plans have struggled to reach the cut point to achieve 5 stars. Further changes to the measure create new challenges, but they may also open new doors. By transitioning the MTM CMR measure from process-based to outcomes-based, CMS is setting the stage for plans to consider MTM program as part of the larger strategy.…

DST RADIO

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Readmissions-- What Health Plans Need to Know 13:00

7 years ago13:00

13:00

A Readmission or re-hospitilization is when a patient returns to inpatient hospital care shortly after discharge, typically within 30 days of discharge. There are many reasons why readmissions are important; one of which is that they are exspensive. Preventing avoidable hospital readmissions is considered by many to be the most important opportunitiy for reducing waste in health care.…

DST RADIO

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Achieving Value in the Management of Chronic HCV Infection 15:00

8 years ago15:00

15:00

Achieving value in the management of chronic HCV infection is one of the most complex challenges facing health plans today. Listen as AJ Ally, R.Ph, MBA, Vice President of Clinical Programs at DST’s Argus Health, talks about the balancing act between treating to cure and cost-effective management with a strategic focus on identifying and eliminating waste by using a Center of Excellence model to coordinate efforts of physicians, pharmacists and patients. Visit www.dsthealth.com to learn more. Sources CDC https://www.cdc.gov/hepatitis/hcv/hcvfaq.htmAASLD and IDSA Guidelines http://www.hcvguidelines.org/Kaiser Health News http://khn.org/news/medicaid-private-insurers-begin-to-lift-curbs-on-pricey-hepatitis-c-drugs/CDC https://www.cdc.gov/hepatitis/hcv/hcvfaq.htm…

DST RADIO

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Integrating Risk and Quality Management to Improve Outcomes and Optimize Revenue 9:00

8 years ago9:00

9:00

MCOL, an industry leading publisher of healthcare news, interviewed DST’s risk adjustment expert Michael Nemeth about the challenges health plans face managing risk adjustment and quality performance and how integrating these two complex processes using an analytics platform can provide opportunities to impact health outcomes and optimize revenue. Download DST's latest white paper for more on how an advanced analytics platform can provide you with the transparency and continuous insights needed to understand member health, accurately document risk and make strategic decisions.…

DST RADIO

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Insights from Marc Palmer: New Pharmacy Models for Value-Based Care 17:00

8 years ago17:00

17:00

As value-based care gains prominence, payers are developing new models that better align cost effective, consumer-focused, and value-based strategies for paying for medical services. Listen as DST’s Argus Health President Marc Palmer shares insights for integrating value into pharmacy benefit management, ways of balancing care with costs and his vision for how Argus has and will continue to meet the demands and challenges brought forth by this new model and under a new administration.…

DST RADIO

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Complexities of the EpiPen® Price Increase 19:00

8 years ago19:00

19:00

Listen as Dr. Rayvelle Stallings, Vice President of Government Programs at DST's Argus Health offers her unique perspective on patient impact, particularly children, from the point of view of a family physician, government programs expert and mother of a son required to carry an EpiPen®.

DST RADIO

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Managing the Complexities of Prescription Opioid Misuse and Overuse 16:00

9 years ago16:00

16:00

Preventing prescription drug abuse remains a top health priority for state and federal policy makers, and one that requires a comprehensive approach. In early 2016, the Centers for Disease Control and Prevention (CDC) announced several new opioid abuse prevention and treatment initiatives and as recently as July 22, 2016 President Obama signed into law S.524, the Comprehensive Addiction Recovery Act (CARA), a framework addressing opioid abuse prevention and treatment, including evidence-based interventions. Listen as AJ Ally, Vice President of Clinical Operations at Argus Health helps you understand the new policies and implications for managing the complexities of prescription opioid abuse. The following areas will be reviewed during this discussion: 1. Drivers for opioid misuse and overuse 2. Potential impact of retail pharmacies offering free naloxone without a prescription 3. Proposed approach to managing opioid abuse and misuse through analytics and convergent solutions 4. Utilization management guidelines (FDA, CDC, CARA) & implications to health plans and manufacturers 5. Down the horizon - new and innovative treatments and solutions…

DST RADIO

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2016 Health Insurance Marketplace Updates – What you need to know 18:00

9 years ago18:00

18:00

Earlier this year HHS released guidance on new regulations related to the Health Insurance Marketplace. Listen as Stephanie Leftwich, Director of Health Insurance Marketplace Strategy at DST Health Solutions helps you understand these regulations in order to gain a strategic business advantage. Let us help you master these complexities of the Health Insurance Marketplace. The following areas will be reviewed during this discussion: Standard Plan Design Network Adequacy Rate Review Risk Adjustment Eligibility and Enrollment…

DST RADIO

1
Leveraging Care Density: A New Way to Measure and Enhance Care Coordination 19:00

9 years ago19:00

19:00

In an increasingly fragmented health care system, there is a need to understand the coordination of physicians involved in patients’ care to optimize quality of care and patient safety. Listen as Dr. Karen Kinder, Executive Director, Johns Hopkins ACG® System, explains the importance of care coordination and information sharing among physicians and how leveraging care density metrics can affect the health of your members and the financial well-being of your health plan.…

DST RADIO

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Use of ACG System in the UK to Support Case Finding & Similarities to the US 19:00

10 years ago19:00

19:00

What are the challenges facing healthcare in the UK? Are these similar or different to the challenges faced by the healthcare organizations in the US? Listen as Alan Thompson, (MSc), Senior Consultant and UK Team Leader at John Hopkins University, explains the tools and techniques they are using to address these healthcare challenges.…

DST RADIO

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Top Three Things A Health Plan Should Do to Engage and Serve Consumers 11:00

10 years ago11:00

11:00

Customer experience is the sum total of all experiences that a person has with a company. The healthcare market is becoming more and more a consumer retail market. Learn the three things every health plan should be doing right now to engage and serve consumers.

DST RADIO

1
Medication Management: Why It Makes A Difference 10:00

10 years ago10:00

10:00

We spend more than 10% of our healthcare expenditures on medications. The need for medications has gone up as life expectancy has gone up over the years. In many cases, a patient is seeing several physicians who are prescribing medications without being aware of all the medicines the patient may be taking. Listen to Marilyn explain why this makes medication management even more important now-a-days.…

DST RADIO

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Accountable Care: Adele Allison 23:00

10 years ago23:00

23:00

The Accountable Care Organization (ACO) model is about orchestrating care delivery in kinship with fellow providers for success as an organization – a community – instead of care delivery in a vacuum, only focused on an individual component piece of the delivery system. Today, there are an estimated 20.5 million lives covered by ACOs in the U.S. To learn more, listen as Adele Allison shares her knowledge of ACOs.…

DST RADIO

1
Network Optimization: Utilizing Big Data to Optimize Your Provider Network 10:00

10 years ago10:00

10:00

Network Optimization seems to be a challenge faced by many health plans right now. For health plans to successfully compete in today’s market, they must quickly move to faster and more powerful tools fully capable of executing complex multivariate analysis based on actual operating models and that yield actionable recommendations and real-time improvements in costs, service and quality. Learn how network optimization can simplify the complexity of health plan operations.…

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