Value-Based Reimbursement: The New Normal

Today I hit send on a white paper that deals with a topic I’m encountering over and over again: value-based reimbursement. Not surprising. By the end of 2016, Health and Human Services (HHS) Secretary Sylvia Burwell expects that a third of fee-for-service Medicare payments will be linked to value-based reimbursement; half by 2018. Of the remaining fee-for-service payments, 85 percent will be tied to quality and value beginning in 2016, 90 percent by 2018, and close to 100 percent by 2019.
I believe that nothing else will impact health care in this country as much as the transition from a volume-based to a value-based reimbursement system. It comes in many shapes and forms: bundled payments, like those I just wrote about for colonoscopy; reference pricing, with large companies like Safeway and Boeing negotiating fixed fees for common procedures like hip and knee replacements, then funneling employees to those providers with the promise of lower out-of-pocket costs; the oldie-but-still- goody capitation; and shared savings programs like many accountable care organizations have taken on.

No matter what you do in health care, you must become familiar with the impact of this mega shift on your work and your company.

Webinar Offered
That’s why I’m offering a free webinar on value-based purchasing. I’ll explain the goals behind it; the pros and cons of the various types; and specialty-focused value-based reimbursement in oncology and other areas. Most important, I’ll talk about what it means to your business.
So mark your calendars: Wednesday, December 15, 2-3:30 p.m. Eastern. I’ll talk for an hour, then take your questions.
Can’t make it? Register anyway; the webinar will be available on demand the following day.
To receive information on registration, email me.

Some Updates
  • American Medical Writers Association 2015 annual meeting. I’m just back from the 2015 meeting in San Antonio, where I spoke on “New and Innovative Moneymaking Strategies for Freelancers,” and led a roundtable on producing webinars.
  • Medical Writers Speak podcast. Emma Hitt, freelance medical writer extraordinaire, interviewed me for her Medical Writers Speak podcast. Listen here.
  • AMWA Voices. Szymon Brużewicz, a medical writer from Poland, and I chatted about our careers and our profession. Listen here
  • The Mighty Marketer. Lori De Milto writes and blogs about successful freelance marketing. She interviewed me for her Conversation with Mighty Marketer series.
Fun Project of the Quarter

All my projects are interesting and most are fun (that’s one of the perks of freelancing!). This quarter, one of the best was serving as the medical director for a live CME symposium at a large medical meeting. It’s nice every now and then to be able to interact with real people instead of trying to turn a blank screen into readable content. An added bonus: the great faculty I worked with.

Worth Reading

If you’re a freelancer (or want to be a freelancer) then check out these two books from my colleagues:
The Mighty Marketer. My friend Lori De Milto has landed great clients and made a lot of money with what she calls “mighty marketing.” Find out how she does it—and how you can, too—with her Mighty Marketer books and her free resources, blog, and ezine.
Freelancing 101: What You Need to Know to Run a Successful Business. Longtime freelancer and friend Michelle Dalton, president-elect of the Delaware Valley Chapter of the American Medical Writers Association, shares secrets to her success in her new book.
Visit my blog for updates on healthcare reform and other pithy thoughts from the deep, dark, depths of my twisted mind.

If you’re doing anything in the area of health technology, then I’m sure I’ll see you at this conference next month. Of particular interest for me is the special session on “The Rock Stars of Healthcare Cybersecurity.” Why? Because I’m working on a book for a client about cybersecurity in health care. It’s a scary topic. Want to learn more? Download this white paper.
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