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Grand Rounds: Value-Based Care and Alternative Payment Modes in Pediatric Population Health

10-08-2021

By Sanford Melzer, MD, MBA , PATH Development Committee Chair


Objectives (Educational Content) :

1. Demonstrate an understanding of the principles of value-based care in the US health care system at large and within pediatrics. 2. Differentiate between different types of alternative payment models and how they may impact provider behavior. 3. Describe at a high level the organizational capabilities required to participate in value-based care arrangement and alternative payment models.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

Progress toward a healthcare delivery system where providers are paid, based on quality, outcomes and cost, rather than on the volume of work that they perform.

Estimated Time to Complete the Educational Activity:

1 hour

Expiration Date for CME Credit:

10-07-2022

Method of Physician Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CME credit.

Disclosure:

Dr. Sanford Melzer has indicated that there are no relevant financial or other relationships with any commercial interests and that this activity was developed independent of commercial interest.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.

Bibliography:

Melzer S.  Matching Market Opportunities with Strategies to Provide Pediatric Value Based Care https://www.childrenshospitals.org/Quality-and-Performance/Value-Based-Care/Resources/2018/Matching-Market-Opportunities-With-Strategies-to-Provide-Pediatric-Value-Based-Care

Wong CA, Perrin JM, McClellan M. Making the Case for Value-Based Payment Reform in Children’s Health Care. JAMA Pediatr. 2018;172(6):513–514. doi:10.1001/jamapediatrics.2018.0129

Counts NJ, Roiland RA, Halfon N.  Proposing the Ideal Alternative Payment Model for Children JAMA Pediatr. 2021;175(7):669-670. doi:10.1001/jamapediatrics.2021.0247