Magellan Partner Greg Hiczewski, MBA, CPA a CPE accredited presentation to a joint meeting of the Healthcare Finance Management Association and the Buffalo Chapter of the New York Medical Group Management Association.  The topic was the Current State and Future of Value Based Reimbursement (VBR).

Greg’s presentation addressed VBR at the Federal level, commercial insurance and New York State Medicaid Reform (DSRIP) and the connection to VBR.  At the state level, we discussed the integration of medical services, behavioral health and community-based organizations (CBOs) and the importance of the Social Determinants of Health (SDH) in improvements in the overall health of individuals, populations and reducing the cost of care.

In Greg’s practice as an organizational development consultant, he helps healthcare providers and CBOs improve service delivery and fiscal performance.  This work includes developing capacity and value propositions for CBOs through GetSET, an initiative of the John R. Oishei Foundation, Peter and Elizabeth Tower Foundation the Ralph C. Wilson Foundation  as well as the Finger Lakes Performing Provider System (FLPPS) a NYS DSRIP initiative.

The healthcare community has recognized the importance of working with community-based organizations, which directly address the Social Determinants of Health in impacting the health of the populations they serve.  It is widely understood that positive health outcomes are significantly influenced by the SDH.

Integrating CBOs into the health delivery system is challenging work for all parties involved.  Having CBOs and payers recognize the value offered, identifying value outcomes and developing consistent data collection and evaluation processes requires a new way of thinking about service delivery.

This presentation addressed how these healthcare service participants will need to work together in the future to achieve improved health outcomes.