Ep 27 – The Future of Value-Based Care: 2021 and Beyond, with Andrew Croshaw

What this episode covers

As we prepare for a new era in our government with President-Elect Biden’s administration and a Democratic-controlled Congress, we must be steadfast in our commitment to value-based care. Can soon-to-be President Biden capitalize on this historical moment of unrest to unite our country with a value-based care policy agenda? Is COVID-19 truly a silver-lining moment for the value movement? How will providers, payers, policy-makers, public health, and patients leverage increased regulatory flexibilities, technological innovations, and major cultural shifts to fast-track strategic priorities that support the triple aim? Our guest this week is Andrew Croshaw, Chief Executive Officer of Leavitt Partners. Andrew’s insights inspire and inform. Supported by leading-edge health care value economy research and intelligence from Leavitt Partners, this episode will provide you with the best policy analysis out there on this “Race to Value.” For additional information on the topics discussed in this episode, make sure to download the latest ACLC Intelligence Brief, The Future of Value-Based Care: 2021 and Beyond. Episode Bookmarks: 1:40 A nation’s sadness due to recent events that have unfolded in Washington, D.C., and hope for a peaceful transfer of power in our democratic republic 2:40 Value-Based Care in the new era of government with President Biden’s administration and a Democratic-controlled Congress 3:13 How the value movement will allow us to improve population health and remain competitive in a global marketplace 3:40 The moral and economic imperative to make value-based care work 4:34 Referencing the newly-released ACLC Intelligence Brief entitled, “The Future of Value-Based Care: 2021 and Beyond” 6:20 Andrew’s personal reflection on the recent violence at our nation’s Capitol and the need for human connection and civility 7:10 How lack of accountability and the divisiveness of social and mainstream media creates incivility and violence 8:40 Hope for a moment for renewal and a better tomorrow 8:53 How the recent Georgia runoff election, giving control of the Senate to Democrats, will enable additional pathways for President Biden’s health policy agenda 9:12 Progress independent of any bipartisanship with elements of the health policy agenda that will still require bipartisan support 10:00 Passage of legislation in the Senate with a budget maneuver called “reconciliation” that can allow legislators to pass certain bills with a bare majority of votes (not the typical 60 votes required) 10:27 “I am encouraged for a sense of bipartisanship based on us learning how precious and fragile we now realize stability in our country really is.” 11:50 COVID-19 emphasizing the need for significant payment and delivery transformation, showcasing the advantages of prospective, non-FFS-based alternative payment models 12:20 Leavitt Partners’ monitoring of public and private sector value-based contracts showing that “Value-based contracts continued in 2020 despite the pandemic.” 13:15 Increase private sector focus on value-based payment (e.g. bundles, specialty ACO models, traditional ACO contracts) 13:27 Medicare Advantage, as a segment of value-based care, showing significant growth and newly-emerging plans are working well for beneficiaries and sponsor 14:12 Large employer advocacy of value-based care and how their voice will continue to grow louder 14:52 Startups forming meaningful partnerships with employers in the value space and how that will be disruptive over time 16:05 The promise of high-touch, full-risk primary care organizations (like ChenMed) as an important driver of value transformation and an influencer of health policy reform