$2.5 Billion a Day?
November 1, 2016
Each day there is $2.5 billion in spending taking place by the Centers for Medicare and Medicaid Services (CMS).
The Chief Medical Officer at CMS, Dr. Patrick Conway, explained that now his young kids are even starting to be able to remember the numbers because his father is talking about them so much—seeking to find a different, more sustainable path forward.
This last week Prevail joined leaders from CMS, payers, and providers from around the country at the Healthcare Payment Learning and Action Network (HC-LAN) meeting in Washington DC. The theme of the event was “Aligning for Action.” With nearly twenty cents of every dollar in America going towards healthcare, it is driving a quickening change towards alternative payment methods further encompassing value-based care models.
The event was kicked off by Secretary Sylvia Matthews Burwell addressing the audience. She noted that some of the very important programs have come from pilot programs. There is an increasing emphasis on integrated models: Accountable Care Organizations (ACOs) and bundled payments.
Some of the exciting news that Secretary Burwell revealed is that there will be a reopening of the successful CPC+ and Next Generation ACO applications.
Prevail’s risk-based model that can cast a wide net over a large population, engaging them in clinically proven care fits perfectly with everything that the leaders of CMS are speaking about. There is becoming more and more knowledge around the connection and association between behaviors and overall health, therefore healthcare spending.
With its ability to provide many people with underlying behavioral health issues with proven care acting in a triage model, Prevail helps to contain the overall cost of care. Through a personalized, dynamic, and fun experience, Prevail helps people to live a better, healthier life. The progress is tracked in the program, with points being awarded for completion of goals.
Governor Leavitt mentioned that the biggest limiting factor right now for further adoption of value-based models is around provider readiness. In a field such as behavioral health where the number of clinicians pales in comparison to the number of people needing care, it drives an urgent need for technology to fill the void.
Through the Affordable Care Act, CMS created an innovations team that is acting as a catalyst for positive change in the healthcare marketplace. Soon, more technologies such as Prevail will see widespread adoption and usage.