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Jason Helgerson
Chief Solutions Officer/Founder
•Billions have been spent on HIT so far
the results are mixed at best
•Don’t let the perfect be the enemy of the good
make the most of current IT & relationships
•The key is collaboration - partnership, information sharing
and changing care in positive ways
this doesn’t always require big IT
•Your frontline staff will make or break your success
•Empower your frontline to help you develop your
VBP strategy
•Use surveys and focus groups
•Create a clinical leadership team to help develop
your strategy
•Communicate, empower and engage!
•Bring in someone from the outside to help
•Don’t enter the value-based world blind to your
weaknesses
•Identify your challenges and develop a plan to
address them
•Be honest, but don’t let your challenges paralyze
you
• Size matters in VBP
if you are small, your performance/success is driven by
random events - not your actions
• Aggregation doesn’t mean you give up your independence
• You have options
Traditional IPA
ACO
Provider-specific IPA
Captured IPA (Health plan based)
•Medicaid isn’t the only game in town
other payers are also moving quickly into VBP
•Medicare Advantage is especially interesting
not just for Duals
•If you are still in Medicaid FFS and moving to
managed care build VBP in up front
one transition is better than two
•Your goal should be to move all your contracts
into at least VBP Level 1
•Specific 2020 goals should be
80% Level 1
35% Level 2
•If you are just entering managed care - go all in
immediately
https://commons.wikimedia.org/wiki/File:RUN_-_Runway_12_-_Ready_for_takeoff_-_06074.jpg
•Multi-year contracts allow you to ‘lock-in’ prior
year gains
prevents quick re-basing
•Multi-year deals allow you to move up into higher
levels of risk/reward as you prove yourselves
•Multi-year agreements do take more time to
complete
focus first on your biggest payers
may not be worth it for smaller payers
•It’s not enough to embrace value…
•you will also need to grow your organization
•Growth can be achieved in multiple ways
Strategic partnerships
Aggregation
Acquisition
Patient/member choice – you just do better job!
•UX matters!
Do you have a UX strategy?
•If the people you serve are healthier and you
effectively meet their core needs you will be
successful
this is where SDOH fits in!
•Use the real goal to motivate your frontline
Understand your organization’s Why
If your Why doesn’t include healthier
people/communities….
you are in the wrong business
partnersinexcellenceblog.com
•I fear our health and social care system is losing
its soul
•We are stuck in the industrial age in which
people are becoming widgets that simply need to
be ‘processed’
•When we practice true empathy we change the
trajectory of human lives
•If you can get everyone in your organization to
practice empathy on a daily basis - you can
change the trajectory of your organization and
ensure massive success in VBP
jason@helgersonsolutions.com
+1 (518) 948-6096
www.helgersonsolutions.com
@policywonk1 @HSG_4_value
Helgerson Solutions Group

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Top 10 things you can do to ensure success in a value-based health care world - Jason Helgerson

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  • 7. •Billions have been spent on HIT so far the results are mixed at best •Don’t let the perfect be the enemy of the good make the most of current IT & relationships •The key is collaboration - partnership, information sharing and changing care in positive ways this doesn’t always require big IT
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  • 10. •Your frontline staff will make or break your success •Empower your frontline to help you develop your VBP strategy •Use surveys and focus groups •Create a clinical leadership team to help develop your strategy •Communicate, empower and engage!
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  • 12. •Bring in someone from the outside to help •Don’t enter the value-based world blind to your weaknesses •Identify your challenges and develop a plan to address them •Be honest, but don’t let your challenges paralyze you
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  • 14. • Size matters in VBP if you are small, your performance/success is driven by random events - not your actions • Aggregation doesn’t mean you give up your independence • You have options Traditional IPA ACO Provider-specific IPA Captured IPA (Health plan based)
  • 15.
  • 16. •Medicaid isn’t the only game in town other payers are also moving quickly into VBP •Medicare Advantage is especially interesting not just for Duals •If you are still in Medicaid FFS and moving to managed care build VBP in up front one transition is better than two
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  • 19. •Your goal should be to move all your contracts into at least VBP Level 1 •Specific 2020 goals should be 80% Level 1 35% Level 2 •If you are just entering managed care - go all in immediately
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  • 22. •Multi-year contracts allow you to ‘lock-in’ prior year gains prevents quick re-basing •Multi-year deals allow you to move up into higher levels of risk/reward as you prove yourselves •Multi-year agreements do take more time to complete focus first on your biggest payers may not be worth it for smaller payers
  • 23.
  • 24. •It’s not enough to embrace value… •you will also need to grow your organization •Growth can be achieved in multiple ways Strategic partnerships Aggregation Acquisition Patient/member choice – you just do better job! •UX matters! Do you have a UX strategy?
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  • 26. •If the people you serve are healthier and you effectively meet their core needs you will be successful this is where SDOH fits in! •Use the real goal to motivate your frontline
  • 28. If your Why doesn’t include healthier people/communities…. you are in the wrong business
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  • 30. partnersinexcellenceblog.com •I fear our health and social care system is losing its soul •We are stuck in the industrial age in which people are becoming widgets that simply need to be ‘processed’
  • 31. •When we practice true empathy we change the trajectory of human lives •If you can get everyone in your organization to practice empathy on a daily basis - you can change the trajectory of your organization and ensure massive success in VBP
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Notes de l'éditeur

  1. • The “one foot on the dock and the other in the boat” strategy is dangerous
  2. Population health improvement doesn’t happen overnight you need a runway to success
  3. (also, your customer isn’t just the person you serve but also their loved ones)