1. LAN: Comment Period Open: Patient Attribution & Financial Benchmarking, see details below.
2. PCORI Invites Applications for Advisory Panels, click here to learn about the review and selection process.
3. The Hill: Drive to Focus Medicare Dollars on Quality-Based Care Nears Goal, click hereto view the article.
4. The New Norm of Patient-Centered Communication: Shared Decision Making, clickhere to view the blog post.
5. ACRO Launches Real World Data Video Series, click here to view the videos.
6. Health Affairs: Patients Are The Sun: The Imperative For Consumer Engagement In Transforming Health Care, click here to view the article.
According to a recent release from the Healthcare Payment Learning and Action Network (LAN), “The public comment period for the draft Patient Attribution and Financial Benchmarking White Papers are now open. The Population-Based Payment (PBP) Work Group invites you to comment on the draft white papers now through Monday, March 7.
The draft white paper titled Accelerating and Aligning Population-Based Payment Models: Patient Attribution describes the method by which patient populations are assigned to providers who are accountable for total cost of care and quality outcomes for their designated populations in a PBP model. The paper recommends that active, intentional identification or self-reporting by patients should be considered first. The paper also outlines nine additional recommendations that payers and providers can use when making decisions on attribution in their PBP models. The draft white paper titled Accelerating and Aligning Population-Based Payment Models: Financial Benchmarking describes approaches for setting an initial benchmark and updates over time and also addresses risk adjustment considerations. The white paper discusses the need to balance voluntary participation with the movement towards convergence in a market with providers at different starting points. The PBP Work Group will be collecting feedback: online through a discussion forum on Handshake (Instructions); and through the LAN Website here and here.
2. PCORI Invites Applications for Advisory Panels
Last week, the Patient-Centered Outcomes Research Institute (PCORI) announced openings on its seven Advisory Panels, inviting stakeholders “to share this announcement OR nominate individuals in your network that would be excellent candidates for these panels. PCORI will consider all applications submitted before March 21, 2016 at 5:00 PM EST for these openings. The PCORI Advisory Panels are an important way we seek to bring voices from across the healthcare community into our research work. The application form includes a series of multiple-choice and open-form questions. Applicants must provide a personal statement (250 to 600 words) that clearly describes their background, experience, degree to which expertise and background could improve our work, and reasons for applying.
“PCORI will accept third-party nominations. The deadline to submit a nomination for the 2016 openings is March 14, 2016 at 5:00 PM EST. Any organization wishing to make nominations should send the following materials, compiled into a single PDF, to firstname.lastname@example.org: nomination letter, CV/resume of the nominee(s), and brief bio(s). Additional supporting materials may be included, such as letters of endorsement. PCORI may need additional information from the nominee, in which case we will contact the nominee directly. PCORI reviews all applications and nominations with an eye towards developing balanced, inclusive panels. We encourage nominating organizations to review our application fields and consider presenting as robust a portrait of their nominee(s) as possible.”
“PCORI’s executive staff establishes multidisciplinary Advisory Panel Applicant Review Teams for each panel. Selection criteria are used to evaluate each applicant’s experience and ability to contribute to each panel’s specific scope of work. In the interest of consistency, applicants are reviewed within the context of other applicants from their stakeholder group. PCORI’s Board of Governors approves the appointments to Advisory Panels.” Click here to learn about the review and selection process.
3. The Hill: Drive to Focus Medicare Dollars on Quality-Based Care Nears Goal
As reported in The Hill last week, “Health and Human Services Secretary Sylvia Mathews Burwell announced one year ago that 30 percent of all Medicare payments would be based on value by the end of 2016, up from the current level of about 20 percent… That 30 percent commitment marks the most dramatic shift in Medicare payments in the program’s 50-year history. It’s also the first time the Obama administration — or any administration — has set a target on value-based payments… ‘We’re just at the beginning of a sea change,’ Marc Boutin, CEO of the National Health Council, said at The Hill’s panel on Tuesday. ‘We are now beginning to ask patients for the first time: What is value to you? What is important to you?’ … Going forward, patient groups say they hope the massive amounts of new data — from patient ratings to other types of quality outcomes — will be able to highlight strengths and weaknesses of each provider.” Clickhere to view the article.
4. The New Norm of Patient-Centered Communication: Shared Decision Making
A recent blog post from the COPD Foundation, a PIPC member, highlights the importance of patient-centered communication. “While patient-centered care may seem like an intuitive approach to healthcare, it has only dominated mainstream discussions of provider-patient relationships in the last several years. Practitioners have adopted this approach – or are working toward that end – given external pressures as well as an increasingly large body of literature demonstrating the effectiveness of patient-centered care in health care delivery and in impacting patient outcomes… Shared decision making is loosely defined as the cooperative process engaged in by providers, patients and sometimes family members when determining a patient’s course of care. This approach stands in stark contrast to the paternalism that characterized physician-directed care through the early 21st century.” Click here to view the blog post.
5. ACRO Launches Real World Data Video Series
Last week, the Association of Clinical Research Organizations (ACRO) launched a new video series examining the definitions and uses of "real world data." ACRO slated the release of the videos to coincide with a national health policy conversation revolving more and more around "the cancer moon-shot," personalized medicine, "big data," innovation, and the search for 21st Century Cures. The three-video series examines: (1) The sources and uses of real world data, including registries, electronic health records (EHRs) and claims data; (2) How real-world data influences market access and reimbursement strategies; and (3) Regulatory uses of real-world data in areas such as product approvals, adaptive licensing, and drug safety.
The videos feature several subject matter experts from ACRO member companies, such as: Michael Pollock, Vice President of Real World Outcomes at PPD; Stella Blackburn, Vice President of Real World and Late Phase Research at Quintiles; Mukhtar Ahmed, President of eClinical Solutions at Bioclinica; Michael Brooks, Executive Vice President at PRA Health Sciences; and Nayan Nanavati, President of Post Approval Services at Bioclinica. Click here to view the videos.
6. Health Affairs: Patients Are The Sun: The Imperative For Consumer Engagement In Transforming Health Care
In Health Affairs Blog last week, Dr. Ann Hwang notes, “The [Center for Consumer Engagement in Health Innovation] was created through a five-year, $14.8 million legacy grant, awarded in 2015 by The Atlantic Philanthropies, to advance the role of consumers in health system transformation... Donald Berwick, president emeritus and senior fellow at the Institute for Healthcare Improvement, underlined the critical need for the center's mission. He stated, ‘We lack balance in listening to the voices of patients, families, and communities with respect to the design of the care that's supposed to help them. We have enormous evidence, overwhelming scientific evidence, that when people can control their own care, the care gets better, and generally—by the way—the costs fall dramatically.’” Click here to view the article.