As published in the January issue of Minnesota Physician, Don Flott, Utilization and Integration Services Director for Mayo Medical Laboratories, recently participated in the 46th session of the Minnesota Health Care Roundtable. The topic was, “Value-Based Reimbursement: A New Way to Pay for Health Care.”
The panel of six experts included Mr. Flott; Ross D’Emanuele, J.D., a health care fraud and abuse attorney from Dorsey & Whitney, LLP; Paul Kleeberg, M.D., a regional medical director with Aledade, Inc.; Allison LaValley, a quality and patient outreach director from athenahealth, Inc.; David Melloh, J.D., a hospital advisor from Lindquist & Vennum, LLP; and Lisa Simm, a risk-management director from Coverys.
The roundtable, moderated by Minnesota Physician Publisher Mike Starnes, covered such topics as challenges in the new environment, Medicare issues, positive aspects of value-based reimbursement (VBR), fraud regulations, misconceptions about VBR, engaging physicians and hospital leadership, measuring health quality, and saving money by using data to reduce waste and resources.
Flott added colorful commentary on the panel, explaining how VBR has different meanings to different audiences. “The patient is saying, ‘I want wellness if I get sick. I want you to make me better. I want that done in a respectful manner, and I want it to be affordable.’” Many echoed his sentiments with Dr. Kleeberg adding, “I don’t want to be paid just to ‘treat and street.’ I want to keep patients healthy and do prevention measures.”
When the subject came up of providing high-quality health care at lower costs, Flott answered, “Diagnostic medicine is evolving to play a significant role in this value-based journey.” While Ms. Simm said, “We need more patient input,” adding that providers need to “have those conversations about shared outcomes up front and then measure against that.”
When asked about what health care organizations can be doing now to prepare, Mr. D’Emanuele said that administrators need to “help physicians understand how this is going to apply to them.” Flott added, “Leadership has to be committed . . . with ongoing communication to staff,” and “It’s more than just equipment and processes. Talent is also part of the changing infrastructure.”
The complete transcript can be viewed on pages 22–29 in the publication. The article ends with Flott’s statement, “We must keep the patient at the center. . . . I think that is going to be one of the absolute keys.”