205 Dialogue Session: Value-Based Insurance Design for APMs

Dialogue Sessions provide an opportunity for Summit attendees to voice their input in response to questions posed by a skilled facilitator, two to three designated “listeners” from the payer, provider, and implementer communities, over the course of 60 minutes. The facilitator, starting with pre-developed/generative questions and topics related to the session concept, will guide the discussion, posing questions to the audience, taking questions from the audience, and ensuring that there are no lulls in the discussion.

 

While patients are removed from thinking about the specifics of physician payment, they most likely pay much greater attention to their health insurance coverage. This session will ask attendees to share — to a multi-stakeholder panel of listeners – what benefit features are important for achieving patient satisfaction with, and removing potential barriers to achieving, their optimal health status. These may include benefits related to specific services, as well as to care delivery mechanisms such as telehealth (“teledoc”), minute clinics, and other community-based care settings. Finally, this session will explore how value-based care and VBID models that are based on consumerism (with consumers as “super shoppers”) are either aligned or at odds with one another. The facilitator will use generative questions and statements to engage the audience and drive the dialogue, with designated listeners empowered to respond or react as appropriate.

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