Reaching the Summit: Trekking Towards Value-Based Payment
Wednesday, October 25th
9:15AM-10:45AM
Today, many states have had significant experience developing value-based payment models for various provider types and patient populations, but is value-based purchasing making an impact on the Triple Aim of higher health care quality, lower costs, and improved patient experiences? Many states have prioritized value-based purchasing in an effort to drive transformation toward a higher quality, more efficient delivery system, and CMS has rewarded these efforts by providing funding and support through such initiatives as the State Innovation Models and Comprehensive Primary Care initiatives. During this session, Colorado, Oklahoma, and Tennessee officials discuss how they have approached aligning numerous value-based payment and delivery reform efforts in their states. They also share lessons learned and outcomes from their experiences in implementing these models in both fee-for-service and managed-care environments.
Speakers:
Melody Anthony, Deputy State Medicaid Director, Oklahoma Health Care Authority- Brooks Daverman, Director of Health Care Innovation, Tennessee Division of TennCare
- Kate McEvoy, Director of the Division of Health Services, Connecticut Department of Social Services
- David Kelley, Chief Medical Officer, Pennsylvania Department of Human Services’ Office of Medical Assistance Programs
- Shane Mofford, Director of Rates and Payment Reform, Colorado Department of Health Care Policy and Financing
For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
