Valer’s Post

I will never shy away from advocating for humanism in medicine! I’m learning to lean into the often difficult discussion of advocating for FAIR payment in medicine, particularly primary care! Setting up quality primary care for patients — and a sustainable way for clinicians who deliver that care— is hard work and takes team effort. Value based care is NOT for the faint of heart. It’s messy, its uncomfortable, but above all, it is necessary! #primarycare #valuebasedcare #familymedicine #physicianleaders

🏥 Improving our Healthcare system requires collaboration from everyone. Reforms like #priorauthorization updates, #Medicare payment adjustments, and expanding #telehealth are essential steps toward improving transparency, access, and outcomes. 𝐀𝐝𝐝𝐫𝐞𝐬𝐬𝐢𝐧𝐠 𝐭𝐡𝐞𝐬𝐞 𝐜𝐡𝐚𝐥𝐥𝐞𝐧𝐠𝐞𝐬 𝐰𝐢𝐥𝐥 𝐭𝐚𝐤𝐞 𝐭𝐡𝐞 𝐜𝐨𝐥𝐥𝐞𝐜𝐭𝐢𝐯𝐞 𝐞𝐟𝐟𝐨𝐫𝐭𝐬 𝐨𝐟 𝐩𝐨𝐥𝐢𝐜𝐲𝐦𝐚𝐤𝐞𝐫𝐬, 𝐩𝐫𝐨𝐯𝐢𝐝𝐞𝐫𝐬, 𝐩𝐚𝐭𝐢𝐞𝐧𝐭𝐬, 𝐚𝐧𝐝 𝐨𝐫𝐠𝐚𝐧𝐢𝐳𝐚𝐭𝐢𝐨𝐧𝐬 𝐰𝐨𝐫𝐤𝐢𝐧𝐠 𝐭𝐨𝐠𝐞𝐭𝐡𝐞𝐫. By fostering better communication and prioritizing patient-centered solutions, we can reduce barriers to care and ensure better outcomes for all. 👇 This article highlights opportunities for positive change and how action from congress can help create a system that works better for everyone.

More than six years ago, @papa created a new kind of care, built on human connection. Dozens of studies over the years have validated our human-centered approach, showing reductions in loneliness, better quality of life, and even lower costs and improved use of healthcare services among our members. Today, we’ve added new data, showing Papa reduced medical costs among Medicare Advantage members by 9% and drove other important healthcare trends.People need people for their health, and we continue to see this time and time again. Learn more about companion care’s proven impact in today’s press release and a new blog post showcasing our full body of research.    Press release: https://bit.ly/4bKs56L Blog post: https://bit.ly/4aEatss

#ICYMI: Misguided policies are giving hospitals the upper hand in health care. "There are ways policymakers can ensure the viability of independent practices -- and bring about a competitive marketplace that works to the advantage of patients." AIMPA president Dr. Paul Berggreen urges policymakers to fight consolidation trends by protecting independent medical practices. Read his piece in the Las Vegas Review-Journal here: https://lnkd.in/efGmQ_83 #Healthcare #IndependentPhysician #HealthcareConsolidation #AIMPA

H.R.8371 - Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act 118th Congress (2023-2024) 11/18/2024-6:55pm On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 389 - 9 (Roll no. 466). (text: CR H6038-6065) Action By: House of Representatives Incredible bipartisan (389 YEA votes) Congressional Support and now on its way to the Senate! Many updates to VHA organization/policy/reporting but the first change for individual veterans and their providers is regarding the current mandated layers of VHA facility/VISN/National approval for referral to Care in the Community: TITLE I—Health Care Matters subtitle A—Veterans Community Care Program Matters SEC. 101. Finality of decisions by veteran and referring clinician under Veterans Community Care Program. (a) In general.—During the period specified in subsection (c), and subject to subsection (b), an agreement under section 1703(d)(1)(E) of title 38, United States Code, between a covered veteran and the referring clinician of such veteran regarding the best medical interest of the veteran is final and is not subject to review, approval, or change by the Department of Veterans Affairs unless a statutory or regulatory barrier prevents the Department from providing the care or services required under such agreement. DISCLAIMER: Of course, the Devil is in the details described above following "unless..." https://lnkd.in/eN_NZT3T

This Newsweek article highlights the growing crisis in U.S. healthcare and emphasizes the urgent need for reform to address the detrimental financial burdens placed on individuals seeking medical care. For the full story, continue reading below. https://lnkd.in/edQwycbp

Value-based care is at an inflection point, as critical alternative payment model incentives are set to expire. Alliance for Value-Based Patient Care members Susan Dentzer, president and CEO of America's Physician Groups, and Aisha T Pittman, senior vice president of government affairs of the National Association of ACOs, will join the Duke-Margolis Institute for Health Policy and West Health to discuss: ➡️ How accountable care organizations have improved patient care ➡️ Factors preventing physicians and other clinicians from transitioning to value ➡️ What policymakers and other stakeholders can do to strengthen advanced alternative payment models and reform the Medicare physician payment system Register for the event: https://bit.ly/4gGSyp2 #ValueBasedCare #Medicare #AccountableCare

Over 70% of physicians now work with hospitals, health systems, or corporations. It’s important to discuss fair reimbursement and reducing administrative burdens. Dutch Rojas breaks it down: [https://buff.ly/3Smts4t ] #HealthcarePolicy #HealthCareWorkers

New Health Affairs article finds physician practice ACOs in the Next Generation ACO Model averaged the largest reductions in spending, reducing average beneficiary costs by $367 per year. This is consistent with the Partnership to Empower Physician-Led Care's white paper, which found consistent evidence of superior outcomes in ACO models by small and independent physician practice participants, compared to other types of ACOs. https://lnkd.in/giqvJ9u5

Exciting news from the Department of Health and Human Services: the Disincentives Rule under the 21st Century Cures Act has been finalized! This long-awaited rule introduces penalties for specific Medicare-enrolled health care providers who are found to have knowingly engaged in information blocking. If found to have engaged in information blocking, clinicians, hospitals, and accountable care organizations will face three specific disincentives. My Faegre Drinker colleagues Doriann Cain, Kennedy McGuire, and Joseph Decker delve into the details in this informative alert.