Printed from: http://www.stfm.org/NewsJournals/STFMNews/NewsSep282015
Melissa Gerdes, MD, to Take the Stage to Assert the Need for Value-Based Payment Models

September 10, 2015—“Our current payment system, while partially responsible for technical advances and amazing capability building, is not sustainable from financial or access perspectives,” says Melissa Gerdes, MD, vice president and chief medical officer of outpatient services and ACO strategy at Methodist Health System in Dallas, TX. “A value-based system moves from reward for effort to reward for outcomes; it will drive the concept of access to the right care at the right time and place for an affordable price.”

The Society of Teachers of Family Medicine has invited Dr Gerdes to present on value-based payment models at the Conference on Practice Improvement. She defines value-based payment as a system where “payment is directly linked to aggregate outcomes and performance on a defined population instead of an episodic, input driven transactional basis.”

In her talk, titled “Successful Practice Transformation for the Value-Based World,” Dr Gerdes will introduce attendees to value-based payment models and help them understand if a Medicare Accountable Care Organization (ACO) model is right for their practice and highlight the ways to achieve success in the Medicare Shared Savings Program. Dr Gerdes serves as Board chair of The Methodist Patient-Centered Accountable Care Organization, which was one of the first Medicare ACOs to generate savings and score in the top quartile in quality by coordinating 15,000 Medicare beneficiaries’ care with an emphasis on quality, patient experience, and cost.

The Medicare Shared Savings Program is a federal pilot commissioned by the Affordable Care Act to study the transition from fee-for-service payment system to a value-based system. During her talk she will share the five core competencies required for a successful Medicare Shared Savings Program:

  1. Developing capabilities for and understanding data and spend analysis
  2. Development of a Post Acute Quality Provider Network
  3. Risk stratification and navigation resource matching
  4. Capability to collect and report on GPRO quality metrics
  5. Physician engagement

Although meeting these competencies and moving to a value-based payment system won’t be easy, Dr Gerdes insists that it is worth the effort, and that health care professionals and practice executives have the skills to enact that change now.

“The topic of value-based payment system development and transformation is still evolving and is quite complicated,” shares Dr Gerde.  “Team-based approaches and change management skills, as well as the ability to pace adaptation and change are key skill sets needed.”

To learn how to implement value-based payment at your practice, attend the Conference on Practice Improvement in Dallas, TX, December 3–6. This conference is a forum for sharing examples of redesign from private practice, academic practice, and public clinics. Register for the conference at stfm.org/cpi.


Copyright 2017 by Society of Teachers of Family Medicine