Performance Measures In today`s health environment, family physicians face an unprecedented number of performance criteria demanded by different payers. The AAFP believes that harmonization of measures among payers is essential to the success of value-based models, since VBP incentives are linked to the performance of the specific quality measures described by each payer. In addition, family physicians need to understand what is being measured and how these measures are used to determine performance and payment. You will find appropriate performance criteria in the AAFP `performance criteria` directive. Enter your email address below and we`ll send you the reset instructions for the development of value-based payment contracts that advance quality and save money that presents unusual challenges. The SpectraMedix VBP Contract Modeler optimizes the value-based awarding process and provides a collaborative solution for the design, evaluation, negotiation and voting of risk-based contracts for both parties on behalf of health plans and ACOS, IPAs and other vendors. Test other contractual terms to get an agreement they offer to a particular group or use as a standard contract. Providing, managing and coordinating care In order to achieve the expected outcomes and performance of BPVs, primary care must verify key elements of providing quality care, such as providing, managing care and coordinating care throughout the medical neighbourhood. Quality improvement is the basis of practices to meet the expected results and results of BPVs. By focusing on health outcomes, practices need an infrastructure that supports population health management and risk care management, starting with assigning patients to their family physicians. By identifying panels, physicians and their care teams are able to certify risks to patients based on each patient`s individual care and support needs, allowing for an up-to-date assessment of population health and an analysis of gaps in resource needs. For patients with complex or multiple illnesses, the family physician and the care team must work with all patient care specialists, caregivers or municipal organizations to ensure continuous and effective communication and coordination of care.
The use of processes and coding such as Transitional Care Management (TCM) and Chronic Care Management (CCM) will help implement new processes and could provide additional resources to support these changes. Value-Based Payment Principles The AAFP recognizes the importance and potential of VBP and supports these principles when designing and making available: if the address matches an existing account, you will receive an email with instructions to reset your password. Base your contracts on the most important conditions, including alternative budgeting methods, stop-loss limits, shared savings corridors and quality assessment. Assess performance over the life of the VBP contract to support contract renewal and ongoing quality and clinical performance. . Coordinating the quality of VBP contracts and financial results at the end of each benefit period. It models other methods for assessing financial and quality performance, risk-taking options and other contractual conditions for your Medicare, Medicare Advantage and Medicaid lines.