Navigation Links
Newly Released Government Health Data Key for Doctors, Hospitals in CMS / CMMI Value Based Care Programs

RowdMap, Inc. talks about Using Government Benchmarks to Intelligently Transition into Value-Based Care and Delivery at Centers for Medicare and Medicaid Services / Center for Medicare & Medicaid Innovation Kentucky State Innovation Model Conference.

Joshua Rosenthal, PhD, Chief Scientific Officer and Co-Founder at RowdMap, Inc., will be speaking on how doctors and hospitals can use newly released government data to intelligently transition into value-based care delivery and payment by identifying and managing no and low value care at the 2015 Kentucky State Innovation Model HIT Innovation Forum, Tuesday, September 29th, 2015 – Bowling Green, KY.

The Kentucky Cabinet for Health and Family Services received a grant from the Center for Medicare and Medicaid Innovation (CMMI) of the Centers for Medicare and Medicaid Services. The SIM initiative was created for states committed to population health improvement through planning, designing, testing and supporting evaluation of new payment and service delivery models. The objective of Kentucky’s SIM model design grant is to engage a diverse group of stakeholders, including public and commercial payers, providers, advocacy groups, employers and consumers, to develop a state health system innovation plan.

Rosenthal will be speaking on a panel entitled “Using Technology & Data Infrastructure to Realize the Potential of SIM Reforms, with Christopher Clark, Executive Director, Office of Administrative and Technology Services; Chief Information Officer, Kentucky Cabinet for Health and Family Services; Patricia Mactaggart Senior Advisor, Office of the National Coordinator; Greg Moody, Director, Office of Health Transformation, State of Ohio.

Last year the US spent $850BB on low and no value care from higher intensity, and riskier treatment options that deliver no additional benefits to patients. Thirty cents of every dollar and up to 42% of patients receive his care every year. This low and no value care is driven by a Fee for Service (FFS) economic model where doctors and hospitals are paid more for doing more, and higher intensity treatment. This unnecessary spending far outweighs fraud, waste and abuse, but is not identifiable from traditional utilization reviews and unit cost analysis.

The Centers for Medicaid and Medicare Services (CMS) and CMMI has created a number of innovation programs to move from FFS to shared risk and value-based care, delivery and payments including a State Innovation Model (SIM) program, awarding a SIM grant to the state of Kentucky. CMS has made historic data releases including the largest data set of doctors and hospitals in history to support identifying provider practice patterns with national and regional benchmarks in order to transition the delivery of care to value based payments.

Joshua Rosenthal, PhD of RowdMap, Inc. will be presenting on how doctors, provider-led systems, specialist groups, hospitals and post-acute centers such as skilled nursing facilities and long term care facilities are using this newly-released CMS data to intelligently move to risk and value-based arrangements including bundled payments, Accountable Care organizations (ACOs), Managed Shared Savings Programs (MSSPs) and payer-provider risk arrangements including full capitation. “Often doctors are creating hidden value as those most effectively managing no and low value care create the most value for whoever owns the risk, but fail to get credit for it in unit cost or utilization reviews, even when case mix adjusted. Using the public benchmark data allows providers to pick the right value based program to get credit for their work.” Joshua Rosenthal, Chief Scientific Officer, RowdMap, Inc.

About RowdMap, Inc. :
An Ernst and Young EY Entrepreneur Of The Year® winner, RowdMap helps health plans, government payers, providers, and hospital systems develop Risk-Readiness (SM) strategies to excel as they transition from fee-for- service to pay-for value. As CMS sunsets fee-for-service payments, RowdMap's Risk-Readiness (SM) Platform helps payers and providers identify and manage unwarranted and unexpected variation. RowdMap identifies ideal provider arrangements based on provider practice patterns and population characteristics within a geography. Payers and providers then use RowdMap to build strategies around these new risk relationships. RowdMap helps them enter new markets, segment populations, identify waste, design products, and understand referral patterns. RowdMap's platform comes preloaded with government benchmarks out of the box no IT integration required. RowdMap's Risk-Readiness (SM) Platform works across all market segments and has significantly larger returns than traditional, medical economic approaches.

Read the full story at

Source: PRWeb
Copyright©2015 Vocus, Inc.
All rights reserved

Related medicine news :

1. RowdMap, Inc. Joins the National Association of Affordable Care Organizations to Use Newly Released Government Benchmark Data
2. RF Technologies Appoints Timothy T. Germann to the Newly Created Position of Chief Commercial Officer
3. Pacifica Graduate Institute announces August 15th scholarship deadline for newly admitted students
4. Newly Launched Website Increases the Probability of an Ordinary Man Dating a Rich Woman
5. Healthpointe Announces Newly Redesigned Website
6. Morristown Medical Center First Hospital in New Jersey to Implant Newly Approved Heart Valve
7. Newly Released Statistics from American Society of Plastic Surgeons Show Staggering and Continuing Rise in Botox Treatments Performed Annually Since the Year 2000
8. Early HIV Treatment Improves Survival in Some Patients with Newly Diagnosed TB New Pitt Study Finds
9. Pharmacy Software Vendor, SuiteRx IPS, Officially Introducing Newly Appointed CEO at Cardinal Health Event in Las Vegas, Nevada
10. APhA Foundation to Showcase Newly Introduced Patient Self-Management Solutions at the Society for Human Resource Management (SHRM) Annual Conference and Exposition
11. FACE Detroit Skin and Wellness Clinic Introduces Newly FDA Approved Kybella for the elimination of the Double Chin.
Post Your Comments:
(Date:6/13/2019)... (PRWEB) , ... June 13, 2019 , ... ... , has announced that the final entry deadline in the 2019 competition is ... , Recognized as the world’s premier business awards program, The IBAs attract nominations ...
(Date:6/13/2019)... , ... June 13, 2019 , ... ... RN, BSN, CRNI and Charles “Charlie” Schadewald as the newest members of its ... as members of NICA’s Advisory Committee. The NICA Advisory Committee is comprised of ...
(Date:6/13/2019)... ... June 13, 2019 , ... GlycoMark, Inc. announced a new ... Diabetes Association (ADA) Scientific Sessions 2019 involving the GlycoMark test being used for ... SGLT-2 inhibitors are used to lower glucose levels in patients with diabetes by ...
(Date:6/12/2019)... ... June 12, 2019 , ... GlucoseZone , ... pleased to announce that LaurieAnn Scher, MS, RD, CDE GlucoseZone’s Chief Strategy ... Diabetes Educator of the Year 2019, honoring best-in-class learning and development initiatives within ...
(Date:6/12/2019)... ... June 12, 2019 , ... Learn ... get valuable advice on innovative branding and network with others in this growing ... media representatives, farmers, nutritionists, manufacturers and others who are part of the rapidly ...
Breaking Medicine News(10 mins):
(Date:6/13/2019)... ... June 13, 2019 , ... Recent lawsuits, ... with a back problem, underscore the responsibility of employers to provide reasonable accommodations ... accommodation requests are reasonable and which are not - from requests by hearing-impaired ...
(Date:6/13/2019)... , ... June 13, 2019 , ... The American Psychiatric ... director to succeed current executive director Nicholas Croce Jr., MS. The search will be ... Board of Directors, past APNA Presidents, and Council and Chapter leaders. , The job ...
(Date:6/13/2019)... ... 2019 , ... Online laser therapy education portal, Laser Therapy ... about non-invasive photobiomodulation (PBM) therapy to relieve pain. LTU will host a live ... , Also known as low-level laser therapy (LLLT), PBM was first ...
Breaking Medicine Technology: