How to Design the Perfect Value Based Care Structure

On this episode of The Scope With Dr. K, Dr. Kosinski chats with Dr. Angelo Sinopoli, chief network officer of UpStream. Dr. Sinopoli is a nationally recognized expert and speaker on population health, care model development, health policy, and contracting strategy. He is a transformational physician executive who most recently served as the system executive vice president and chief clinical officer for Prisma Health, the largest not-for-profit integrated healthcare system in South Carolina, serving over a million patients annually. Together they discuss Dr. Sinopoli’s career in bringing multi-faceted healthcare networks together across geographic areas, the role that data transparency plays in improving quality metrics, and the perfect value-based care system if Dr. K and Dr. Sinopoli were able to build one from scratch. You don’t want to miss this episode!

Episode Takeaways:

  • In a network of 5,000 doctors, data transparency among providers and administrators was essential to drive forward value-based care and risk contracts. When individual provider quality metrics are available to everyone, tremendous improvement is possible.
  • UpStream is piloting a new value-based care compensation model where doctors are paid monthly quality bonuses from shared savings, versus a traditional value-based model in which providers receive incentives 6 -18 months after providing care.
  • Integrating primary care and specialists around specific disease management drives shared learning and system-wide cost reduction.

This article was originally published on the SonarMD website and is republished here with permission.

About the Show

An inside look at value-based care in GI

Listen in as Dr. K brings patients, providers and payers together to reimagine GI care in America. He and his guests will discuss emerging trends, research, care and payment models, technologies, regulatory pressures, policies and more. It’s time for a gut check on how GI can help meet the quadruple aim in healthcare: an improved patient experience, better health of the overall population, lower costs and happier providers.

Show rebroadcasts at 8:00am, 4:00pm and 12:00 am ET every weekday.

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About Dr. K

Dr. Lawrence Kosinski (@lrkosinski) is the Founder and Chief Medical Officer of SonarMD – a care coordination and drug optimization solution for gut health. After spending 30+ years of his career as a leading clinician and researcher in gastroenterology, Dr. K is now 100% dedicated to bringing patients, providers and payers together to advance value-based care. Dr. K is routinely tapped to present at leading GI and payer conferences, including DDW, GI Outlook, AHIP and others. He has published numerous research projects and previously served on the governing board of the American Gastroenterological Association.

Read Dr. K’s full bio and learn more about the SonarMD team.