Payers and other organizations can help smaller practices develop the necessary infrastructure to complete their healthcare transformation, said Peter Aran, MD, medical director of population health management at Blue Cross Blue Shield of Oklahoma.
Payers and other organizations can help smaller practices develop the necessary infrastructure to complete their healthcare transformation, said Peter Aran, MD, medical director of population health management at Blue Cross Blue Shield of Oklahoma.
Transcript
How do value-based incentives differ based on practice type?
Big health systems have the money and the infrastructure to have full-time equivalents who do quality, who do information technology, who do communications and public relations. They have the people and the resources to do that and to lead programs. A 2-, 3-, 4-, or 5-doctor group in rural America will not have that. So, this is an issue not just with the oncology care model initiative, but with the primary care plus initiative as well. And with the [Merit-based Incentive Payment System], which is: do we need to have some type of virtual group for the smaller practices to help them develop the infrastructure to do the healthcare transformation that we want them to do? It’s more challenging for the small groups and we need to help them—so that’s the role of the payers.
The payers and other kinds of non-governmental organizations (NGOs) and the government, one of the challenges and responsibilities we have is to help those programs that don’t have the built-in infrastructure and that don’t have the big mega systems of 40, 80, 100 hospitals systems have. The Community Oncology Alliance, and the [American Society of Clinical Oncology], and other groups are going to be basic in trying to help us to make these changes for a couple reasons. They are a vocal force in communicating their changes with their docs in practices, they convene them at national meetings once or twice a year, and then their monthly publications help educate them. So, they are a vital aspect to getting this done.
In this interview with The American Journal of Managed Care®, Katie Queen, MD, addresses the complexity of obesity as a medical condition, pivoting to virtual care while ensuring that patients who lived in a rural location continued to receive adequate care, and the importance of integrating awareness of obesity and chronic disease prevention into local food culture.
Read More
Recent T1D Research Contradicts Common Assumptions About Patients
November 15th 2023Michael Fang, PhD, researcher and assistant professor in the division of Cardiovascular and Clinical Epidemiology at Johns Hopkins University, discussed recent findings in the type 1 diabetes (T1D) space that may alter the way providers address diabetes diagnoses.
Read More
Oncology Onward: A Conversation With Thyme Care CEO and Cofounder Robin Shah
October 2nd 2023Robin Shah, CEO of Thyme Care, which he founded in 2020 with Bobby Green, MD, president and chief medical officer, joins hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, to discuss his evolution as an entrepreneur in oncology care innovation and his goal of positively changing how patients experience the cancer system.
Listen