By JESSICA DaMASSA, WTF HEALTH
Signify Health (NYSE: SGFY) called their approach “Value-Based Care 2.0” and today they received an important CMS designation that could set an exciting precedent for expanding episodes of care, models based on the value for the under 65 occupational health insurance market. The plan to receive this important approval as an Advanced Alternative Payment Model (AAPM) is the Connecticut State Health Plan – a massive plan that covers the state’s 220,000 employees and retirees. To talk about what this one-of-a-kind approval signals for the future of value-based payment models, Connecticut State Comptroller Kevin Lembo and Signify Health CEO Kyle Armbrester.
What is so important here is the combination of episodes of care (which looks like value-based care) and the under 65 market (which is not as rich in care case studies). based on the value that the Medicare market for over 65s.). That a state government with a massive population of lives covered AND a vested interest in helping local hospitals and health systems maintain vibrant economic drivers in the community paves the way for this new design of the payment model is important. . And, Controller Lembo gives us the details on how he sees it as a win-win – after quite a few battles along the way. To gain in health innovation, you have to follow the dollar! Tune in to this chat to see where it’s heading as Care Episodes models get a huge boost from CMS.