The First Hep C Value-Based Bundled Payment Plan

Tackling hep C Satya Sarma, MD, chief medical officer at Carelst Health Plan Arizona, says Carelst started the program to address two issues: a high prevalence of hepatitis C in Arizona (the Arizona Department of Health Services estimates over 90,000 people live with HCV, making it one of the most c...

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Bibliographic Details
Published in:Managed Healthcare Executive 2019-07, Vol.29 (7), p.35-36
Main Author: Hamm, Nicholas
Format: Article
Language:English
Subjects:
Health services
Hepatitis
Hepatitis C
Medicaid
Patient compliance
Patients
Physicians
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Summary:Tackling hep C Satya Sarma, MD, chief medical officer at Carelst Health Plan Arizona, says Carelst started the program to address two issues: a high prevalence of hepatitis C in Arizona (the Arizona Department of Health Services estimates over 90,000 people live with HCV, making it one of the most commonly-reported infectious diseases with an average of 7,500 cases reported each year) and the shortcomings of traditional fee-for-service models in treating the HCV population. Sarma also says that issues related to social determinants of health (SDOH) play a key role in restricting access to drugs-food, housing, transportation access, and even care coordination across services (e.g., behavioral health services) are often not addressed by providers. [...]physicians will not only be able to achieve a cure for most patients who comply with their treatment protocol, but they'll be able to address any social challenges that might be affecting a patient and their treatment, like transportation, housing, or food" The physician involvement question Any successful value-based plan needs buy-in from providers, and Carelst's is no exception.
ISSN:1533-9300
2150-7120