Group tasked with enabling Triple Aim finds hard challenges

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A group of providers, payers and patients in January 2015 formed the Healthcare Transformation Task Force to collaboratively figure out the challenges of value-based care payment models and work on policies to support the Triple Aim of improved quality of care and population health management while lowering costs of care.

Today, the task force has 43 members, seeks more, and has found the work to advance value-based care is tough and slow-going, Jeff Micklos, executive director, said during a presentation at Health Data Management’s Valued-based Care Conference in Dallas.

In January 2015, members had about 30 percent of care being reimbursed under value-based models. Today, the number is 41 percent, and members recognize the high hurdles to meeting the 2020 goal, Micklos said.

But the work continues with the task force studying the design of programs to reach the Triple Aim while getting a reasonable return and achieving sustainability.

These programs include developing best practices, studying state and federal legislative and policy initiatives that could better support value-based care, studying ways to improve ACO bundled payment programs and improving the care of high-cost patients, and studying internal cultural changes and external factors that organizations must address to succeed in value-based care. A recent report from the group addresses consumer priorities in a value-based environment. Another issue being tackled is integrating primary and behavioral care.

Also See: Analytics to play a key role in achieving the Triple Aim

With all these studies comes an overwhelming amount of data and programs from government agencies, which creates another challenge, Micklos noted. “There’s a lot of experimentation going on today.”

For instance, some members of the task force are considering if they should create a value-based care unit within their organization while continuing with the status quo for most of their business lines. Organizations are working on different models, but it is too early to pick some over others, Micklos said. “We’re at the ‘Let a thousand flowers bloom’ stage.”

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