Disclosure(s): No relevant financial relationship(s) to disclose.
Disclosure(s):
Cindy Bowens: No relevant financial relationship(s) to disclose.
Offering a new paradigm of value-based care, AI-informed SCAMPs are ▪ Designed to generate evidence, progress systematically, be context-dependent ▪ However, adoption requires both market push and pull • The solution is to balance the foundations of state, market, and community ▪ Foundations: State (CMS, state Medicaid, commercial payers, and employers), Markets (facilities, clinicians, and patients/consumers), and Community (ACES-DT) ▪ The solution is “bottom-up” – intentional and targeted evidence, data, measures, models ▪ The solution is “micro-solutions” – local, collaborative action, learning, “pay for participation” − rewards effort (complex, emergent) − transforms effort into recognized ability (computable, structural)
With COMMUNITY as FOUNDATION Strong communities* make both the state and markets work better ▪ *Shared commitments to theories, concepts, methods, and instruments • Role of the State ▪ CMS, state Medicaid, commercial payers, employers (governance structure) ▪ Inclusive framework, monitoring, and resources to (and across) communities • Role of the Markets ▪ Facilities, clinicians, and patients (production and exchange of goods and services) ▪ Improve the well-being of all people through connected communities (maximize value) • Role of the Community ▪ Empower and correct market participants, within community transfers (emerging facts) ▪ Authority and accountability to the state for the population of interes
