Medicare spend per beneficiary (MSPB) information is a Centers for Medicare & Medicaid Services metric that reflects the average cost of an episode of care for Medicare patients. This measure is important to consider as part of a hospital’s national balanced scorecard, as it reflects executives’ efforts to transform the healthcare delivery system and manage the full continuum of care, including the prominent shift from inpatient to outpatient utilization.
Published By: McKesson
Published Date: May 27, 2015
The shift to value-based care creates a sharp increase in healthcare organizations and networks’ need for data collection, aggregation and analysis. This white paper outlines the challenges involved with performing population-level analyses, developing cost accounting and profitability analyses across care settings, evaluating care episodes and integrating quality data. It explores the limitations of targeted software solutions to provide cross-enterprise insights. Finally, it provides advice for healthcare executives regarding how to approach gathering quality and cost-related data and how to leverage technology and analytical expertise to drive risk-based contract success.
This paper is divided into two parts. The first part provides some background and a comparison of the types of episode analytics. Part two explores the real-world experiences of payers and providers in using episode analytics for payment bundling and other purposes.
Finally, we offer some recommendations on how to use episode analytics to reduce variations and manage contracts that involve financial risk.
It’s clear: the healthcare industry is in need of change. And today, the system is undergoing a critical transformation as it shifts from a volume-based to a value-based delivery model. Gone are the days of simply treating illness. Now, the focus is on managing the episode of care, containing the costs of delivery, optimizing services and improving patient outcomes.
Published By: Cognizant
Published Date: Oct 23, 2018
Value-based care is the predominant model for enabling the healthcare industry to control costs and deliver better information to consumers. The basic idea is that reimbursements are based on the quality of the outcome of a procedure, episode of care, use of a device or therapy. Under this model, life sciences companies are rewarded for improving health outcomes and/or reducing the costs to achieve those outcomes. It requires life sciences companies to rethink many of their processes, from R&D through the commercial phase. Navigating those momentous shifts requires that life sciences companies embrace a range of digital technologies which will enable a holistic approach to value-based care. This white paper will examine the drive for value-based care, its impact on life sciences companies and how technology platforms can address the challenges the industry is facing.
Gaps in care in health systems cause higher mortality rates and inflate costs. Download this case study for a closer look at how one health system used IBM CareDiscovery data to prove to their board that an outpatient palliative care service line was viable in both cost savings and quality of care improvement.
To reduce risk and cost, as well as better serve individuals and populations, visibility across the entire episode of care is essential. Oracle’s Cost Effective Healthcare solution combines cost, quality and clinical data to analyze root causes and variations. Our customers are transforming to more competitive, financially viable healthcare organizations using Oracle’s secure, modern Cloud solution.
During this webinar, you’ll learn:
Reduce cost by analyzing episode of care outliers
Alleviate risk due to clinical variations and value-based contracts
Lessen IT cost with a consolidated, secure Cloud Platform
Understand the tangible business value our healthcare customers are realizing