Value-Based Care: Ochsner Health Has Real Hospital Success
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- Опубліковано 15 вер 2024
- Ochsner Health in New Orleans and Its EVP of Value-Based Care, Dr. David Carmouche, Have Had REAL Success with REAL Value-Based Care.
Ochsner Was Able to Have 30,000 Capitated Medicare Advantage Patients Cost $100 Million Less Than a Comparable 30,000 Traditional Medicare Patients.
Treatment Differences for the Medicare Advantage Population Include:
1. Patient Health Risk Assessments
2. In-Home Visits
3. Outpatient Case Management
4. Post-Acute Care Utilization Management
5. Greater Use of Primary Care
Because Ochsner Had Transitioned So Much of Its Care AWAY from Fee-for-Service, They CHANGED the Way They Paid Doctors.
The Primary Care Doctors Were No Longer Paid Based on RVUs, but Instead on the Performance of Their Patient Panels.
Specialists Had a Portion of their Compensation Based on Value Measures Such as Clinical Variability and Unwarranted Care.
The Result: Ochsner Had Its Best Financial Year in 2020 Even with the Decrease in Elective Patient Volume from the COVID Pandemic.
Ochsner's Experience Demonstrates that Healthcare Costs Can Be Lowered in a Financially Viable Fashion by a Hospital System.
Sources:
relentlessheal...
www.ochsner.or...
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WOW - absolutely amazing! Thank you for sharing with us. May we all wake up!
Thank you for watching and for your comment.
This is great!
Thank you for watching and for your feedback.
Great. Thanks for this post Dr Bricker.
Visited relentless health, what a great resource.
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Can you go into more specifics on how they paid PCP’s for panel performance? The standard argument against this practice is that with value based pay no one will want to take the sicker or non-complaint patients onto their panels.
That information was not provided in the podcast. Will likely be part of the paper they plan on publishing.
Thank you for watching and for your question.
Thank you!
Thank you for watching and for your comment!
Do you think ffs will ever go away?
Never completely. There will likely be a ‘quantity’ component of compensation for proceduralists like surgeons… but will not be the majority.
As a health admin student, I regret not finding your channel earlier.
Glad you found it now. Thank you for watching.
Excellent summary of this standard-setting success. Our team has also yielded profitability in this model, but on smaller scale. Our PCP's would say that they were initially worked to the bone w/ all the administrative aspects associated w/ the panel performance metrics but once they reallocated office support staff roles to help steward these add'l tasks, their schedules & patient volumes leveled back out. Some offices were more willing than others to make these necessary staffing changes, however, & their performance dashboards & patient outcomes clearly reflected that.
Super detail. Thank you!!
Awesome episode, as usual Dr B - this is the first time though that I've heard medicare advantage plans can arguably be a "needier" population (from a medical standpoint) than the traditional medicare population. My understanding of part C was that insurers have become extremely good at cherry-picking healthier/wealthier patients so that they can make more money off of them - to the point that the ACA had to adjust how reimbursements were calculated.
Thank you for watching and for sharing your perspective.
Thank you for your videos doctor. They have taught me a lot about value-based care. If PCPs were to be compensated based on the health outcomes of the populations they serve, and economics drives people to go where the money is, how; other then relying on altruism, can systems attract and retain providers in areas which have a history of being statistically unhealthier than others? Surely such populations exist and are a function of poverty or factor X or whatever. And if so, they will always exist no? How does one economically motivate providers to care for these populations if the populations cannot be influenced towards measurable improvements in population health outcomes? Perhaps you disagree and believe that no such population exists?