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DST RADIO

DST RADIO

DST RADIO

Subject matter experts on controlling the administrative costs of healthcare while improving health outcomes.

21 - Transitioning to Value-Based Payment: Five Best Practices for Success
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  • 21 - Transitioning to Value-Based Payment: Five Best Practices for Success

    Value-based Payment (VBP) seeks to tie healthcare payment compensation to measurable improvements in the quality of care in an effort to achieve the Triple Aim: an improved care experience, and better health, at an affordable price. Here, DST Health Solutions’ Adele Allison discusses VBP, explaining what it is, what it means for health plans, why it is a good thing, and most importantly what plans can do to build a transition strategy.

    Mon, 17 Sep 2018 - 18min
  • 20 - Does Your Strategy for Quality Outcomes Maximize Potential of MTM CMR?

    CMS added the MTM CMR completion rate measure to Star Ratings for Medicare plans in 2016. Since then, plans have struggled to reach the cut point to achieve 5 stars. Further changes to the measure create new challenges, but they may also open new doors. By transitioning the MTM CMR measure from process-based to outcomes-based, CMS is setting the stage for plans to consider MTM program as part of the larger strategy.

    Fri, 06 Jul 2018 - 10min
  • 19 - Readmissions-- What Health Plans Need to Know

    A Readmission or re-hospitilization is when a patient returns to inpatient hospital care shortly after discharge, typically within 30 days of discharge. There are many reasons why readmissions are important; one of which is that they are exspensive. Preventing avoidable hospital readmissions is considered by many to be the most important opportunitiy for reducing waste in health care.

    Wed, 06 Dec 2017 - 13min
  • 18 - Achieving Value in the Management of Chronic HCV Infection

    Achieving value in the management of chronic HCV infection is one of the most complex challenges facing health plans today. Listen as AJ Ally, R.Ph, MBA, Vice President of Clinical Programs at DST’s Argus Health, talks about the balancing act between treating to cure and cost-effective management with a strategic focus on identifying and eliminating waste by using a Center of Excellence model to coordinate efforts of physicians, pharmacists and patients.  Sources CDC https://www.cdc.gov/hepatitis/hcv/hcvfaq.htmAASLD and IDSA Guidelines http://www.hcvguidelines.org/Kaiser Health News http://khn.org/news/medicaid-private-insurers-begin-to-lift-curbs-on-pricey-hepatitis-c-drugs/CDC https://www.cdc.gov/hepatitis/hcv/hcvfaq.htm

    Thu, 04 May 2017 - 15min
  • 17 - Integrating Risk and Quality Management to Improve Outcomes and Optimize Revenue

    MCOL, an industry leading publisher of healthcare news, interviewed DST’s risk adjustment expert Michael Nemeth about the challenges health plans face managing risk adjustment and quality performance and how integrating these two complex processes using an analytics platform can provide opportunities to impact health outcomes and optimize revenue.  Download DST's latest white paper for more on how an advanced analytics platform can provide you with the transparency and continuous insights needed to understand member health, accurately document risk and make strategic decisions.

    Thu, 16 Feb 2017 - 09min
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