Making the Transition to Outcome-Based Quality Payments
Norbert I. Goldfield, MD
Chief Medical Officer
3M Health Information Systems
Quality has always been a priority for healthcare professionals. When payers have implemented quality incentives in the past, they have largely relied on process measures. In the past year, there has been an unmistakable trend toward the use of outcomes measures as a significant portion of any quality based payment incentive. The challenge for hospitals is to balance between the existing prospective payment or process incentives and new value-based payment models that emphasize improved outcomes over a period of time, not just the hospital stay.
This webinar helps anticipate how outcomes will be measured and reimbursed within outcome-based quality models, especially for accountable care or shared-risk agreements.
After This Webinar You'll Be Able To:
- Describe two types of quality outcomes: those with monetary equivalents (e.g., complications or readmissions) and those without (e.g., mortality or patient empowerment).
- Understand approaches to incorporate payment incentives based on both types of quality outcomes, but particularly those with monetary equivalents.
- Define the ways government and private payers are implementing outcomes into payment systems.
- Recognize the controversies and challenges in defining and implementing quality-based outcomes.
CFOs, VPs of finance, and directors of managed care and revenue cycle
Field of Study: Specialized Knowledge and Applications
Delivery Method: Group-Internet-Based
HFMA members: Free
Note: This on-demand webinar is available until Feb. 17, 2015.