Podcasts about vbp

Relatório da Bateleur destaca desafios da estiagem no RS e projeções para o agronegócio. Safra de grãos no Brasil deve crescer 9%, enquanto a produção gaúcha segue atrelada ao clima. Estudo também analisa tendências para a pecuária. Jacto amplia acesso à agricultura digital e lança consórcio com prazos reduzidos. Paraná se destaca como polo promissor para o cultivo de algodão com alta rentabilidade e baixo custo. Em MG, VBP do agro tem estimativa de crescimento maior que o nacional em 2025. Tempo: semana começa com temporais nos estados do Norte e Nordeste.

O Valor Bruto da Produção (VBP) agropecuária mineira deve superar os R$ 167 bilhões em 2025, com crescimento de 13,6% em relação ao ano anterior. A projeção de crescimento do VBP estadual, calculada com os dados de janeiro, é maior do que a prevista para todo o Brasil, que deve ter acréscimo de 11% e chegar a R$ 1,4 trilhão. Luiz Freitas tem mais informações direto da Agência Minas.

Segundo a CNA, 2025 será ano de recuperação para a agricultura devido às boas condições climáticas na maior parte do país, com faturamento da produção atingindo R$ 1,46 trilhão. Abimaq: setor de máquinas e equipamentos registra alta de 19,5% no faturamento em janeiro. Uso de bioinsumos cresce e deve aumentar mais de 20% em 2025, com vendas podendo alcançar R$ 9 bi até 2030. Tempo: quinta-feira será marcada por altas temperaturas e pancadas de verão em diferentes áreas do país.

Carl Zeiss Meditec AG Deep Dive: Q&A Q&A with Carl Zeiss Meditec AG's Head of Investor Relations, Sebastian Frericks China Market and Recovery Expectations Update on China's Refractive Market and Recovery Expectations for 2024 Market Context: Carl Zeiss Meditec remains the leading player in China's refractive laser surgery market, having experienced over a decade of growth at a CAGR exceeding 20%. However, since China's reopening post-COVID in 2023, the market has faced challenges, including a shift to lower-cost procedures and reduced patient traffic. Utilization rates for installed laser systems declined in the high single digits during late 2024. Seasonality: The refractive business is seasonal, with peaks during Lunar New Year (January-February) and the summer vacation period (July-August). Outlook: A turnaround is expected in the second half of fiscal year 2024/25 with the rollout of the VisuMax 800, an advanced refractive laser platform offering faster and more precise procedures. Despite the current cautious macroeconomic environment, strong indications of clinic demand point to potential growth in late 2025. Trends in Downtrading from SMILE to LASIK in China Observations on Shifts in Procedure Preferences: - Market Shift: The weak consumer environment has shifted preferences from the minimally invasive SMILE therapy to less expensive LASIK procedures. Previously, SMILE accounted for 80% of treatments, but this mix has shifted to 65-70% SMILE and 30-35% LASIK. - Revenue Impact: This mix change has significantly impacted revenue, as SMILE procedures generate higher margins. - Strategic Response: The upcoming VisuMax 800 platform aims to improve the mix by introducing higher-value consumables and addressing the changing consumer landscape. Impact of Volume-Based Procurement (VBP) on IOL Volumes How Has VBP Affected the Intraocular Lens (IOL) Business? VBP Rollout: The Chinese government's volume-based procurement (VBP) system has lowered intraocular lens prices, resulting in significant price reductions across the value chain. While this has pressured margins, volume increases have partially offset the revenue impact. Long-Term Opportunity: With an ageing population and high cataract prevalence, the Chinese market for IOLs has substantial untapped potential. The company expects affordability improvements to drive long-term growth. APAC (Excluding China) Performance Market Dynamics in APAC Regional Highlights: Southeast Asia, including Vietnam, Indonesia, Malaysia, and Singapore, shows strong growth in refractive laser and cataract procedures. India: Economic growth and wealth creation are expected to significantly expand the middle-class market, increasing demand for elective procedures. The company has been directly present in India for over 30 years and is optimistic about its long-term potential. Conclusion Sebastian Frericks highlights Carl Zeiss Meditec AG's resilience amid market challenges, emphasizing the company's strategic positioning, leadership in innovation, and long-term growth potential across global markets. Despite short-term headwinds in China, the company remains optimistic about recovery and expansion opportunities driven by advanced technologies and strong market presence. ▶️ Other videos: Elevator Pitch: https://seat11a.com/investor-relations-elevator-pitch/ Company Presentation: https://seat11a.com/investor-relations-company-presentation/ Deep Dive Presentation: https://seat11a.com/investor-relations-deep-dive/ Financial Results Presentation: https://seat11a.com/investor-relations-financial-results/ ESG Presentation: https://seat11a.com/investor-relations-esg/ =============================== T&C This publication is for informational purposes only and does not constitute investment advice. Using this website, you agree to our terms and conditions outlined on www.seat11a.com/legal and www.seat11a.com/imprint.

*Fique bem-informado com as notícias do Programa Agronegócio Hoje de 22/01/2025.*    

I did a thing, I signed the Cliffs Farm up to be VBP+! Yes it was easy, yes the process was very smooth, it was painless and very productive.  After going through the process and having a pre-audit checklist call with Erika I mentioned about doing a short Podcast episode and thankfully she agreed! A program that is beneficial to improve on farm practices and opens up access to additional funding when thinking about upgrading your ranching operation.  In the entire process I never felt like they were telling me I needed to be better or what to do. I approached it as a process that will help my family get better. Become more efficient in record keeping. Open the opportunity to some government grant funding, a vast portfolio of industry expert knowledge and an achievement in certification.  The on farm Audit itself was actually enjoyable. We talked about cows the entire time! We are proud of our operation so I took it as an opportunity to do an in depth tour. Our auditor was so professional and personable. She pointed out what she would like to highlight, the picture she would like to take for verification and was an overall wealth of knowledge about on farm practices and record keeping.  I hope you enjoy this episode and maybe consider signing up to begin the VBP+ process too. If you would like more information feel free to reach out to me or visit https://verifiedbeef.ca/.  Thank you to Season 5 sponsors: Klassen Industries  Angus World Thank y'all for listening. Please leave us a 5 star rating and review on your favorite pod catcher.  Kurtis Reid Contact us: Lifestockpodcast@gmail.com Facebook @LifestockPod Instagram @LifestockPod Twitter @LifestockPod https://thecliffsfarm.com/

durée : 00:02:21 - Volley : la présidente du Niort VBP fait le bilan à mi-parcours de son équipe féminine propulsée en 2ème division

Join us for this enlightening episode of VRTAC-QM Manager Minute, where we explore the transformative power of Value-Based Purchasing (VBP), also known as Performance-Based Payment (PBP). In the studio, we have Chip Kenney, Co-Project Director of the VRTAC-QM, and Lisa Mills, a consultant and subject matter expert in VBP, sharing their expertise. VBP is more than just a financial model—it's a strategic shift designed to drive better outcomes for individuals with disabilities. By aligning provider incentives with measurable performance outcomes, State Vocational Rehabilitation Agencies (SVRAs) can enhance the quality of services, improve consumer results, and optimize costs. Tune in to hear Chip and Lisa discuss how SVRAs can harness the power of this approach to revolutionize service delivery and create a meaningful impact. Whether you're considering adopting VBP or seeking to refine your approach, this episode is packed with insights you won't want to miss! Value-Based Payment Methodologies to Advance Competitive Integrated Employment: A Mix of Inspiring Examples from Across the Country   Listen Here   Full Transcript:   Chip: Virginia reached out and they wanted to include value based purchasing specifically in their Disability Innovation grant. I said, this is an opportunity we can't pass.   Lisa: Is there anything about our payment structure that incentivizes or rewards this kind of quality that we're saying we're not getting, thus reduce the amount we're investing in unsuccessful closures.   Chip: When we can get to that point where we can identify and measure and demonstrate and get quality outcomes that will move this whole system a gigantic step forward.   Intro Voice: Manager Minute brought to you by the VRTAC for Quality Management, Conversations powered by VR, one manager at a time, one minute at a time. Here is your host Carol Pankow.   Carol: Well, welcome to the manager minute. Joining me in the studio today are Chip Kenney, Co-Project Director of the VRTAC for Quality Management, and Lisa Mills, Consultant and Subject Matter Expert to the QM on Value-Based Purchasing. So here's a little context for our listeners. Value-Based Purchasing, also known as Performance-Based Payment, is a model that offers financial incentives to providers for meeting certain performance measures. And as state rehab agencies look to improve outcomes for individuals with disabilities, the quality of purchased VR services, and overall cost effectiveness. A Performance-Based approach might be an option, so I don't want to steal their thunder, and I'm going to let my guests discuss what they're doing today. So let's dig in. Lisa, lets' start with you. Can you tell us a little bit about yourself and how did you find your way kind of into this VR space?   Lisa: Sure. So I've been in the world of disabilities for my career, for the entire career. So, 33 years, I think where now I've lost count. But about 20 years ago, I got really interested in employment working with Self-advocates way back before there was such widespread support for ending Subminimum wage. You know, the support that we do see now, but that was at a time when that it wasn't even being discussed. But Self-advocates were very clear that they wanted to earn more money and have more opportunities. So I got interested in supported employment and why we weren't using it very much. And so I started working with Medicaid and long term support agencies on improving employment services and outcomes. Back then, there was something called the Medicaid Infrastructure Grants, which allowed states to create Medicaid buy ins for working individuals with disabilities. So I really dug in around what were we doing around employment services. And of course, that brought us to the relationship with VR. And about 16 years ago, I started working on customized employment and developing ways to pay for customized employment, and worked with a couple VR agencies at the time on payment structures for customize. And then most recently, I'm a mom of a transition age son who used VR supported employment services to get his first and second jobs, and he's been employed in competitive, integrated employment since 2020. He's about to turn 21 and that has changed his life. So I'm a firm believer.   Carol: Good for him. That's really cool to know. I always love it finding out the stories people have, because you never know, we all get here a different way. But I love your path. So Chipper over to you. And I'm going to say Chipper because I'm naughty. He Chip is my colleague. So for our listeners I do like to rib Chip a bit. So Chip, how did you find your way into the VR space?   Chip: So very similar to Lisa. My whole career has been in public rehabilitation for a bit then technical assistance centers, but fast forwarding to about 2009 was interested in customized employment and its applications, and the need for VR systems to have an employment system that really addressed what people with the most significant disabilities needed to be successful, and I was sort of glommed on to that space ever since. And then with the passage of WIOA, it just seemed a really necessary connection that VR agencies and systems have something new they can offer. People who would have considered going into sheltered employment now are coming out. What are you going to offer them that's new and different from when they went in and have been at it ever since, mainly focused on the implementation side of it, because there's a bunch of trainers in that space and they're all really good. But we learned early on that it takes an infrastructure to embed, implement and sustain customized employment over a period of time. And so that's been my focus the last several years. I mean, we're still learning a lot. And rate structure is part of that, which, I mean, I've known Lisa for years too, but rate structure is something every agency struggles with. And when the opportunity came to work with Lisa on this and move this forward, I thought, this is a big missing piece that we have to fill.   Carol: Absolutely, I'm underscoring that 100% because we know we get a lot of rate work with our QM work and the whole idea and customized employment with that sustainability. You can have the great idea. And we're going to do the thing and we're all excited. But then what happens. Year one and two and three and four as it goes on and it all fades away. And we don't want that to fade away. We need to have that good sustainability plan. So Chip, how did you get involved in bringing Lisa on board? What was kind of the impetus of that?   Chip: Virginia reached out. The state of Virginia reached out to us and they wanted to include value based purchasing. And they mentioned that specifically in their Disability Innovation grant, and somebody referred them to me. I mean, I knew a bit about it, but then as soon as I saw the Lisa connection and started reading her work on it, I said, this is an opportunity we can't pass, even though I don't have any experience. But Lisa brings all that and the knowledge and the background and said, it's really important to be a part of this.   Carol: Very cool. So, Lisa, I understand you have a very unique superpower. You can speak and interpret languages across multiple partner systems. How did you develop that?   Lisa: Well, I guess I'm a bit of a policy wonk. I did a lot of interviewing of people from different systems to try to understand what was going on with partnerships, what were the challenges. And this was probably 12, 13 years ago. I was doing some work with ODEP at the time, blending and braiding. And when I was doing a lot of my interviews interviewing the different partners, including VR, I figured out that a lot of what was going on at that time was sequencing. It was really not blending or braiding, and if we wanted to get to braiding and ultimately to blending, I felt like we really had to find what was going on then as something foundational, you know? And that's where I kind of coined the term sequencing and said, this is really what we're doing, but we can help people understand then what it means to switch from sequencing to braiding, what it means to switch from braiding to blending, and really start to get people interested in the advantages of moving away from sequencing. So it really was just wanting to dig into each system enough to figure out what solutions might improve collaboration and outcomes. Sometimes it can be easy to lay out all the issues, right? Everything that's not working, but to really dig into each system and figure out where could we align ourselves, where are we aligned, and we just don't realize it? That was more, I guess, the policy wonk side of me.   Carol: I love that because I think I've been on lots of work groups over the years, I mean, I just have when we've worked between, you know, departments of education and your state Department of like maybe developmental disabilities or whatever you are calling it back in the day. And then in the VR system when we all had different ways of describing everything and we could get stuck in the what's the problem? Here's all the problems. We got problems. We have a million problems. Here's all the hundred problems we have to get through before we can get to a solution. But if you go in and go, I love that. Like, how are we aligned right now and what are the things that we could build off of right now instead of always focusing on that whole myriad of things? But I think understanding each other, how we speak about things and we may say the same word, but it means something different to each of us. Once we can kind of clear up that dictionary and talk the same language, it makes it much easier to comprehend what's going on in each other's systems and how that can then work together. I love that you have that. So what is the essence of Value-Based Purchasing?   Lisa: So to me it's quality service combined with efficient service that results in quality outcomes. So I think about that. Efficiency without quality that would not lead to quality outcomes. We'd hurry up and do things, but we wouldn't really see the quality outcomes we wanted to see. And at the same time, if you have a quality service that goes on and on and on, you lose the cost effectiveness and you typically you lose the job seeker. They're going to give up or go find a job some other way. So to me, we have to recognize we need both quality and efficiency in the way services are delivered and that we have a set of quality outcomes we want to achieve. And we have to ask ourselves, to what extent are we getting those quality outcomes? And to me, if we can figure out a payment structure that balances rewarding quality and efficiency and is really clear about what is quality and service delivery, what is efficiency and service delivery, and then what are we looking for? As quality indicators and outcomes? We can design a payment structure that really will deliver on that. And I think as you start to think about that, you realize how the existing payment structures really aren't set up to do those things for various reasons. And that really, I think, helps people buy into the idea that there might be a better way to do this. And this idea of value based purchasing might actually have some legs.   Carol: So that payment structure piece, that's my interest. How did you really dig in and kind of figure it out? Because it sounds good and I understand all the things you're saying about quality outcomes, but how when it comes down, like putting the rubber to the road, do you get at the nuts and bolts of figuring out the payment structure?   Lisa: So everybody always wants that. Next they say, so tell me what it is. And I always say it is what you need to develop locally in your system. You need buy in from those who are purchasing and those who are providing, and you've got to bring them to the table in a constructive way. So in a really collaborative way, sometimes we talk about it as co-creation and you dig into what do we agree is quality service, how do we differentiate quality service from service that we would say is not high quality. And then what do we agree is efficient service? How do we differentiate efficient service from service we would say is inefficient but very important to VR agencies, at least those I've spoken to. Are these quality outcomes, the career path outcomes, the jobs with benefits, the jobs with more hours and better pay? You know, some of these things, you're just not necessarily seeing a lot. You're getting outcomes that you can count as a 26 closure, but they aren't the kind of quality outcomes that, and you see some revolving door effect of certain people who and I know that's a big issue in some states or you see a lot of dropouts in the process. So in every state it's important to sit together and figure out what should we be doing better, what does better quality look like, and then what is quality and efficient service look like? That's how you get the buy in to establish a payment structure that where people want to implement it and intend for it to work. I can certainly share examples of how that co-creation works going on elsewhere and what the ultimate outcome was, but that is what happened there. And I really like the idea that and really believe that you've got to do a local co-creation process to get to something everybody's bought into and something that has a high probability of working. I would never say, oh, Value-Based Purchasing is this. It's only this. Or you just take this model from this other state and you plunk it down here. That won't work.   Carol: Yeah, I can see why you sing to Chip's heart there. Because he's all about systems work, you know, and that whole and everybody's systems in your state are so different. How you're set up, what your relationships are like between your providers and yourself and other entities and all of that. So I do like that you're speaking to that and you can't just pick up and replicate because you've got all your nuances that are happening in your state, and you need to understand those before you can get to the agreeable solution. That makes a lot of sense.   Chip: And it's not only that, and we're finding this to be true now that providers are not a monolith, that there's not a state where you can go, okay, every provider looks like every other provider. There are a lot of uniquenesses, a lot of variables that have to be taken into account to bring at least the majority of them on board. And that's we're finding that to be true as every state system is different, every provider network or non-network is different.   Carol: Absolutely. And even when you think about the states, kind of just the like the geographic challenges they have and the things that are going on, we've saw such an increase, especially after Covid with people moving and some of the states go like our cost of living in certain areas has gone up exponentially, like 300% or something. And so you've got everybody like, decided because they could work from anywhere. We're all moving to this town and then other areas become depleted, maybe from people, and there's less resources available and harder to get providers to serve an area even though you have customers there. I just feel like we have a lot of geographic and economic challenges across states, even tiny states. It's been super interesting. We've found that work as we've been just doing plain old rate setting with states, so let alone what you guys are digging into. So what are some of the biggest challenges in implementing this value based purchasing?   Lisa: I would say the time it takes to do it right. I think sometimes state agencies and I'm not singling out VR, but they want quick solutions. You know, they think about it for a long time and then they say, okay, we want to do it. Let's get it done. Can we get this done in three months or can we, you know, and you have to say probably not in a way that would be successful. And so it is something not to take lightly and to really commit to invest in. I think there's a lot of additional benefits to doing this, including provider relationships and the learning that goes on. Providers now understand what it's like to step in the shoes of a funder. Funders understand what it's like to step in the shoes of a provider. I always think that helps with everybody getting on the same page and agreeing to a model they think will work, but it takes patience, it takes partnership. Some states are, they're very uncomfortable with bringing providers in. They tend to develop things and then release them to providers. So you've got to have a level of trust when you identify the providers you want to involve. I always encourage to identify who are your high performers. They are the providers you want this model to work for because you want more high performers and you want those that you have to expand their footprint, for example, to go into geographic areas that are underserved or to hire more staff. So always thinking about partnering with the high performing providers. But there's a bit of reluctance, you know, and risk in doing that and saying we're going to create something together. Lots of outside the box thinking. It's really hard to get away from payment models that you've been invested in for a long time. Milestone fee for service. Just to think beyond those can be very difficult, but I think once people start to and that's something I do, is kind of bring ideas and thoughts and stimulate thinking to get them to move away from those models and really say, what should we be paying for? What is important to value in the payment structure? I think it really gets to be very exciting, or at least I think so. You really need data to you cannot develop a model without good data. Sometimes the data is readily available. It's reports that VR agencies are already pulling out of their system. Other times the data's in the system, but they don't typically pull it. And so we have to work with them. And it helps to have a data analyst to assist with this process, to be able to pull pieces of data or data analysis and different ways that informs what we're doing. We want a data driven approach. And sometimes, of course, you probably know that data analysts are very, very busy or they're off doing something else. And it may be hard to get them committed to the work.   Carol: Have you seen improvements since? I'm just thinking since WIOA and kind of the requirements that RSA has put on state agencies about collecting a vast amount more of data. Have you seen improvement as you're working with states that they actually have data they may not have had years ago that you can get at. I mean, there might be a little bit of a problem with the staffing or getting your data analysts to pull it, but that availability of the data you need to really to dig into this, that it's actually there.   Lisa: Yeah, I do think the systems are pretty sophisticated, and it's a matter of helping them understand how to use more of the data they have, because we have the standard WIOA measures. We have the way that VR talked about its performance prior to WIOA but I think we're digging in to get it more data elements that help us understand. One of the most important things to understand is demographic information and how that affects maybe how difficult or how easy it is to serve someone. So, for example, adding criminal background to someone's demographic profile, or we know from history that, you know, that does create a challenge. So it's weeding out what are the things that differentiate people who VR would serve and try and understand better how that relates to cost. The other thing that's really important that I don't typically see is what's the average cost of a successful case? So I see this is the average cost of successful closures. So taking all successful closures and dividing it by the number and then average cost of unsuccessful closures, then average cost of a case. But for me what matters most is what are we paying for a successful case if we're including everything we're paying. So including all the that we're spending on unsuccessful closures in that and saying, basically this is what it costs to get a successful case, because we also have to pay for the unsuccessful closures and trying to focus on how do we reduce, how much we're paying for unsuccessful closures, and to really make sure more of the money that we're paying flows to successful closures. There's a little bit of complacency that goes on with every system where if we just compare ourselves to other states, we may say, look, we're doing better. We should be happy with our performance. We are better than 75% of the states. But if we stand back and compare that to people without disabilities and their participation in the workforce, I think that's when we say we're comparing it to school. Like if you got 60% on a test, would you pass it or would you fail it? So I think we have to challenge ourselves to say we may be doing better than so many other states, but we are not performing at a high level and we want to move up. We want to not just judge ourselves by other states. Now, 100% success is unrealistic. I don't think there's anybody who would disagree with that, but it's important for the providers and the funder to come together and say what kind of improvement above where we've been. Do we want to try to incentivize? Do we want to see and to develop the payment structure, to say we believe this structure will directly influence our ability to move those percentages up over time and thus reduce the amount we're investing in unsuccessful closures without reducing the number of people were serving, without cherry picking, but truly improving outcomes.   Carol: I love that that is a good way to challenge the thinking that's going on out there, because people sort of, I don't know, poo poo or they just this is over there in that bucket and they let it be. And we're kind of complacent with just, you know, we're doing better but is better. What's the next state like. You know, like better than what. And so what does that matter.   Chip: But I think I mean, the key to me is the concepts of quality, the quality of services and quality outcomes. And if you can define and you can measure and you can demonstrate quality of services and quality outcomes, it seems like you don't need to compare yourself with other states. You can say this is quality in our state. This is what we're doing. This is how we're doing it. These are the outcomes. So state by state national comparisons are way less important. So when we can get to that point where we can identify and measure and demonstrate and get quality outcomes that will move this whole system gigantic step forward.   Carol: 100% Chip. So what would be your best advice for states as they're listening. Right. You know, they're listening in and they're thinking, well, I want to do something, but I don't know what to do. Like what would be the next steps? What should they do?   Lisa: To me, it's, start the conversation. I find that the process of bringing state people together with providers, that they're all learning together about this different way of thinking, And it helps because it does take a little bit to get your mind around what Value-Based Purchasing is and how it's different from milestone payments or fee for service. And I've often seen like people have come up to me sometimes and said, you know, it was the third time I heard you talk that the bells finally went on, you know? And I said, that's fine. I think it's just the way it is. It's complicated in a way, because it's so different. So getting the conversation started and thinking about, you know, asking yourself questions like, is there quality in the outcomes that we want as an agency that we're not getting quality and service delivery? We don't feel we're getting quality and outcomes we're not getting. Then think about your payment structure and say, is there anything about our payment structure that incentivizes or rewards this kind of quality that we're saying we're not getting? Sometimes maybe there's something there. Sometimes you could say, no, there's absolutely nothing in the payment structure that does that. And then I always say, think about the providers that you think are doing the best work for you. Are they financially benefiting? Are they doing better financially. And in some cases I've seen no, there's no difference. I'm performing better, but financially that's not being recognized. And in other cases I've seen they're actually earning less because they're doing such a good job and they're very efficient. You know, they're producing quality with efficiency. They're actually doing more poorly financially than some of the providers who are performing at a lower level of quality. So I think when we start to think about those questions, people see that the need to try to figure out a different way to do things, then they're willing to, you know, let's talk about what this Value-Based Purchasing is what the principles are, how it's different, and begin to think about how we might bring our high performing providers into a conversation with us about this.   Chip: My advice for states is that you're in this for the long haul. To Lisa's point very early in this discussion that this isn't a quick solution. That's something that can just be laid in the state and just immediately adapted. It does take that level of discussion, that level of understanding, collecting data. It's complex. And sometimes I think to myself, why am I choosing to get involved in the complexity of Value-Based Purchasing overlaid the complexity sometimes of customized employment, but I think in the end result we will have a much better system, much more equitable service delivery system for everyone, including providers, including customers and job seekers. But just keeping the discussion going on things like this, things that CSAVR presentations Getting this into the national discussion, I think, is the first step.   Carol: Those are really good tips. Where outside of VR is Value-Based Purchasing being implemented?   Lisa: So definitely in the Medicaid world, most of your listeners are probably aware of that, but mostly in the Medicaid world, it's on the acute primary care side. So hospitals and doctors, primary care physicians and things. So I always caution people there's things we can learn from that and those examples. But it's not a wholesale import those approaches over to VR. I don't think that would work. But there are some principles or strategies that we can use, like there's a concept called shared savings. There's some other things that I think we can think about and use, but we still have to develop something that's specific to employment. In my work on this around employment on the Medicaid side has been with the long term services and support agencies, the DD agencies, the mental health agencies, managed care organizations who are doing LTSS and employment is a perfect place to start with them around their thinking, around Value-Based Purchasing. They're facing some pressure. I would say some to use Value-Based Purchasing because it's seen to be working on the acute primary side of Medicaid. So they're saying, why aren't we using it in LTSS? And they want better quality and better efficiency too. They want to see people supported to achieve their highest level of independence. They want their high performing providers to do well. So we worked on it with employment because it's so obvious that fee for service, which is the typical payment model, disincentivizes all the things that we associate with high quality supported employment, the better you are at getting people jobs, the better you are at coaching and fading because you're good at it. We reward providers under fee for service with less money. And those providers are performing more poorly, end up with more money. So it's not hard to get people to see why fee for service doesn't work for supported employment. So we've worked on models for job coaching that pay for hours worked rather than hours of coaching, so that providers are appropriately financially compensated if they do better at fading, which goes back to what kind of job did they get people, as well as how good they are at coaching. That model incentivizes them to get people more hours. So if you start with 12 hours a week, that doesn't mean you stay with it. If they're doing well, the employer wants to increase that. The person wants that they can get paid more in the model. Fee for service providers don't get any financial remuneration for increasing people's hours worked, even though we say that's a goal. So that's been a lot of where we see some of the value based models developing. We're paying for things up front services like exploration, which I'm really happy to see the results of states that have added exploration and exploration to their waivers, because we now have a way to tackle people who say no thanks in a planning meeting or I'm not interested, or their families say that we've been paying for developing payment models for that. That's an outcome payment. So they complete the service, then they get paid based on the quality of the information they submit and the efficiency. So there are ways to align what we're doing. Providers certainly appreciate that they would like to be paid the same way. Typically once they experience being paid in a Value-Based structure. So that's where it's happening. But think about just the general business world. There are so many examples of payment based on performance or quality, right. Sales Salespeople earn incentives for sales. So business has long been doing this in terms of creating those kinds of incentives and even nonprofits. Now, United Way and others are funding nonprofits based on outcomes and deliverables. They're no longer funding them to just provide service. So I think if you look, we're seeing it everywhere, really.   Carol: So you brought up a whole lot of points. If people are interested in more information, do you have resources we could send them to?   Lisa: Well, in 2021, I did a publication that looked at examples from around the country that I'd been in some way involved in. That's on the Lead Center website as well as there are a series of webinars we did at the time with representatives from various states. I have a lot of information about what's going on in the Medicaid side. Et etcetera. So I guess I would say that was my thinking in 2021, I continue to learn and evolve my thinking, and I think we're at a point now where we're trying to do in Virginia, is move beyond both fee for service and milestones, because neither are working very well, right? So you've got some state VR agency saying we're paying fee for service. It's not working. Should we move to milestone? But if you talk to states who are using milestone, they will also say it's not working very well. Some of them are thinking about going back to fee for service. And I'm thinking, I don't think we should do either. I think we should work together to figure out what's the next way we attempt this that addresses the shortcomings of both. And I think that pathway is Value-Based Purchasing.   Chip: and helping moving states to. Well, I'm a little concerned about the unknown. What we have may not be working now, but it's the known. I don't really know what's ahead, but I think where in Virginia at least, has done a really good job of creating that safe space. Like, let's explore this together and keep this comfort zone of what we currently have, but move forward into something that's more equitable and beneficial for them.   Carol: So, Chip, if people wanted to reach out, what would be the best thing? Should they contact you or what would be best?   Chip: Either one of us is if it's a state agency, probably me if it's others listening to this. Lisa.   Carol: Do you want to give them your email address?   Chip: It's r k e n n e y at SDSU (San Diego State University) dot EDU.   Carol: Awesome. And, Lisa, do you mind sharing your email address?   Lisa: No, but I'll warn you, it's long. So here we go, Lisa Mills l L i s a M i l l s, all one word, at M as in Michael, T as in Tom, D as in David, D as in David, dot On Microsoft, all one word, com. And that was my IT friends who gave me that ridiculously long email, which I hate.   Carol: Holy smokes, that is long. Well thank you both. I really appreciate it. And I will put a link in our podcast announcement out to your publication from 2021 as well. Then folks could at least see that. But thanks for your time. I really appreciate the conversation.   Lisa: Thank you.   Chip: Thanks. We really appreciate this opportunity.   Outro Voice: Conversations powered by VR, one manager at a time, one minute at a time, brought to you by the VR TAC for Quality Management. Catch all of our podcast episodes by subscribing on Apple Podcasts, Google Podcasts or wherever you listen to podcasts. Thanks for listening!

As revisões nas estimativas de produção de produtos pecuários minimizam a queda prevista no faturamento do setor. A nova previsão indica que o VBP deve atingir R$ 1,24 trilhão em 2024, valor 2,2% abaixo do resultado do ano anterior. O VBP corresponde ao faturamento bruto dentro dos estabelecimentos rurais, considerando as produções agrícolas e pecuárias, com base na média dos preços recebidos pelos produtores de todo o país.

Hear Sue Viskovic, General Manager, Consulting at VBP, trace her career in financial services, and discuss how she started Elixir Consulting (now part of VBP) to provide business coaching to advice firms. Sue recounts the challenges when advice businesses moved from commissions to fee-based models. She emphasizes the need for advisers to understand the intricacies of running a business, thorough business planning and being well-capitalized. Sue predicts that scalability will be crucial for advice businesses and outlines how practice management roles, technology (especially AI, data and CRM systems), and outsourcing to countries like the Philippines, can significantly reduce costs and improve efficiency. Lastly, Sue mentions how VBP helps firms looking to improve their operations through consulting, coaching, and outsourcing services.

Em busca de retomada, empresas de máquinas e implementos apostam na tecnologia para impulsionar vendas e produção no campo. Agro gaúcho aguarda anúncio de novos recursos para agricultura pelo Mapa. Paraná tem 35 cidades com VBP do agro superior a R$ 1 bilhão. Com 21 mil focos, Mato Grosso lidera queimadas no Brasil. Agrotempo: fumaça das queimadas pode provocar "chuva preta" no Sul.

In this episode of The ifa Show, host Keith Ford is joined by Lana Clark, founder of GSD Lab and senior consultant at Elixir Consulting, powered by VBP, to take an in-depth look at some of the key findings from the firm's recently released Advice Operations Research Report. Clark breaks down the ingredients that make up the secret sauce of great advice firm operations, explaining the areas that the research found make the largest contribution to successful firms and how practice principals can ensure the business is ready for the future. Listen as they discuss: The importance of separating the role of practice manager as quickly as possible. How building a good culture is harder than it seems but is vital to business success. Why nailing down bulletproof processes within an advice firm is a fundamental step.

Prejuízos chegam a 28,5% do VBP gaúcho para o ciclo 2023/2024. Exportações do complexo soja foram as mais rentáveis para a economia goiana. Aplicação de insumos via sulco de plantio pode render até R$ 500 a mais por hectare. Abrafrutas finaliza acordos fitossanitários para exportar uvas brasileiras para a China. Agrotempo: Temporais voltam atingir o Sul enquanto calor e baixa umidade agrava a estiagem no centro do Brasil.

Pesquisa da Conab considera as cinco hortaliças com maior representatividade na comercialização nas principais Ceasas do país. VBP: lavouras responderam por R$ 775,8 bilhões, enquanto a pecuária foi responsável por R$ 371,4 bi. Paraná vai produzir 1,25 bilhão de litros de etanol na atual safra. Fruticultura da Bahia é destaque no maior evento do setor da América Latina. Agrotempo: primeiras geadas do outono são esperadas na região Sul.

Mesmo com um momento de queda de preço das principais culturas produzidas no Brasil (soja e milho), o VBP se manteve acima da casa de R$ 1 trilhão pelo quinto ano consecutivo.

O Acrimat Informa traz nesta 204ª edição, sobre o VBP. Além disso, saiba mais sobre os dados do boi gordo. Por fim, saiba tudo sobre a última rota do Acrimat em Ação! Locução: Karol Garcia Texto: Augusto Camacho Apoio Técnico: Kátia Pacheco Edição e projeto gráfico: Péricles Cândido Musics by Audionautix http://audionautix.com Creative Commons — Attribution 3.0 Unported — CC BY 3.0

Imea projeta VBP da Agropecuária em R$ 148,6 bilhões no Mato Grosso. Análise: preço da soja pode oscilar devido ao clima na nova safra dos EUA. Seca se agrava e governo decreta situação de emergência em dez municípios de Goiás. Como a agricultura regenerativa pode conectar a produtividade e sustentabilidade. Agrotempo: nova frente fria começa a se formar na região Sul.

What can penguins teach us about instituting change at your firm? Shaun Jardine, lawyer and author of Ditch the Billable Hour, and his sidekick Declan the Penguin answer that question through the lens of shifting your billing method to value-based pricing (VBP). VBP can be a good way to consolidate the many different billable hour policies attorneys have while offering clients the quantity and quality of service they desire. We also talk about managing mindset changes and how billing policies can affect other key areas of legal administration, such as succession planning and recruiting young talent. Speaker Bio: As a lawyer and former Chief Executive Officer of a Top 250 UK law firm, Shaun Jardine has insight into what makes firms and their staff tick. He is the author of Ditch The Billable Hour! Implementing Value-Based Pricing in a Law Firm, which was published in January 2024. Jardine founded Big Yellow Penguin in 2021 with the aim of encouraging and helping lawyers and law firms to adopt practices, including value-based pricing, that will make their futures more secure — both financially and operationally — and enjoy practicing their craft again.

Boost Your RCM Performance with Top Metrics & Insights Struggling with revenue cycle management (RCM) in your home health business? In this episode of the Home Health Revealed podcast, discover the top 5 key metrics you need to track and improve for optimal performance in 2024. This episode dives deep into: Days Sales Outstanding (DSO): Keep your cash flowing smoothly with actionable tips to bring DSO down to 45-60 days. Denial Rate: Slash denials to less than 5% and maximize reimbursements with expert strategies. First Pass Acceptance Rate (FPAR): Achieve a 95% FPAR for cleaner claims and faster payments. Claims Metrics: Eliminate backlogs and ensure timely billing with efficient processes. Value-Based Purchasing (VBP) Metrics: Understand the VBP clinical and operational data and optimize your performance for future success. Plus, gain valuable insights on: Implementing a scorecard to track progress and measure impact. Facilitating regular team discussions for improved collaboration. Don't miss out! Listen to the Home Health Revealed podcast today and unlock the secrets to optimized RCM and a thriving home health business.

O custo de recuperação de todas as áreas com pastagens degradadas é maior do que o VBP da Soja, e três vezes o para a bovinocultura. Para o mercado do boi gordo, cenário segue estável, enquanto o volume de exportações vem aquecido.

Condições climáticas adversas levam Conab a reduzir para 306,3 milhões de toneladas estimativa para produção de grãos. BNDES anuncia mais R$ 3 bilhões para o Plano Safra. Minas Gerais é quarto estado no ranking de VBP brasileiro com mais de R$ 123 bilhões. Exportações de carne bovina crescem em volume mas receita diminui em 2023.

Com alta de 2,5%, VBP brasileiro deve chegar a R$ 1,159 trilhão. Brasil exportou 4,5 mil sacas de café em novembro. Agronegócio impulsiona alta do PIB baiano no terceiro trimestre do ano. Setor do agronegócio reprova alterações na reforma tributária. Onda de calor se intensifica em todo país.

O Valor Bruto da Produção (VBP), deverá ser de R$ 1,151 trilhão na estimativa de outubro divulgada pelo IBGE. Esse desempenho é 2,2% maior que o obtido em 2022, cujo desempenho por sua vez, foi de R$ 1,126 trilhão. O VBP das lavouras cresceu 4,2% em valores deflacionados e está estimado em R$ 811,7 bilhões. O desempenho da pecuária caiu e o faturamento foi de R$ 339,9 bilhões, uma queda de 2,1% em relação a 2022.

Mapa atualização projeção do VBP para 2023 prevendo nova alta de quase 3% até o fim do ano. Embrapa lança novo inseticida biológico para combater mosca-das-frutas para ambiente tropical. As cotações do trigo se recuperam na segunda semana de outubro. Santa Catarina começa a contabilizar os prejuízos causados pelas chuvas no agronegócio do estado. Chuvas intensas na região Sul contrastam com estiagem no Centro-Oeste brasileiro.

Alta demanda internacional impulsiona produção brasileira de açúcar. Exportações do agro mineiro crescem 12% em 2023 . VBP da floricultura paranaense chegou a R$ 224 milhões em 2022. Conab prepara programa de subsídio ao setor leiteiro. Semana começa com chuvas no Sudeste e Centro-Oeste.

VBP é atualizado para R$ 1,142 trilhão este ano. Lavouras tiveram faturamento de R$ 804,3 bilhões e pecuária, de R$ 338,3 bi. Estimada em mais de 32 milhões de toneladas, safra de grãos mantém GO na terceira posição do ranking de maiores produtores. Santa Catarina atinge marca histórica de 3 mil propriedades certificadas livres de brucelose e tuberculose. Mato Grosso: plantio antecipado de soja pode causar problemas sanitários. Agrotempo: chuvas voltam ao RS e mantém autoridades em alerta.

VBP: lavouras lideram crescimento com aumento de 4%, impulsionadas pelo recorde da safra de grãos e ganhos de produtividade. Na FPA, Tebet afirma que maior valor do Seguro Rural depende de aprovação do arcabouço fiscal. Prazo para entregar a declaração do ITR vai até 29 de setembro. Setor rural, comércio e indústria podem economizar R$ 10,7 bi por ano com mercado livre de energia. Abate de bovinos e frangos cresceu no 2º trimestre de 2023. Semana segue com temperaturas em elevação e marcam tendência do fim de agosto.

Com crescimento de 42%, a produção de café no Paraná deve superar 41 mil toneladas neste ano. Mesmo com pequena queda, Minas Gerais terá um VBP de R$ 124 bilhões em 2023. Café segue como principal produto do agronegócio mineiro com estimativa de um VBP de R$ 29,1 bilhões. Nos Emirados Árabes, ministro da Agricultura, Carlos Fávaro, encerra missão brasileira à Ásia. Tempo seco e quente no fim de semana prenuncia chegada de uma frente fria na próxima semana.

Com aumento na produtividade, Paraná deve colher 14 milhões de toneladas de milho e 4,6 milhões de toneladas de trigo. Alta produção brasileira de milho pode influenciar negativamente nos preços internacionais do grão. Fruticultura goiana deve alcançar um VBP chegar a R$ 66,5 bilhões em 2023. Ministério da Agricultura aponta manga e melão com as frutas brasileiras com maior potencial de exportações na próxima década. Semana começa com tempo seco e aumento das temperaturas no Sul do país.

Values, Beliefs, Principles How They Interact to Shape Your Life Even though I've taught principles of values-centered leadership for decades, I was well into that process before I recognized the complex conceptual framework within which values function. And each of our values has its own unique framework. For reasons which I outline in this podcast, I began referring to this framework 20 years ago as a molecule. At the center of the molecule is a value. Surrounding this nucleus are our beliefs which we hold about the value. Then, attached to each belief are principles which we derive from that belief -- principles which dictate how we should implement that value in our approach to life. I refer to this construct as a VBP molecule. Values, Beliefs, Principles. I first introduced it in 2006 in my book Leadership and the Power of Trust. Since then I've fleshed it out extensively in keynotes and trainings. It helps me provide clients with a more comprehensive understanding of motivation. We've long recognized that all motivation is based on values. That is, we are not motivated to pursue anything which has no value to us. This would imply that behavior (which is prompted by motivation) is the product of the values which we cherish. In reality, however, behavior is not the direct by-product of a value or particular set of values. Behavior is a by-product of what we believe about those virtues. And the pattern of our behavior stems from the principles which we deduce from those beliefs. Therefore, we do not change behavior by changing people's values. We change behavior by helping them change what they believe about their values. When beliefs change, principles change. And when principles change, behavior changes. A transcript of this podcast is available for download at UpsizeYourLeadership.com. That same link will give you access to a downloadable graphic which provides a visual depiction of the VBP molecule. Learn more about your ad choices. Visit megaphone.fm/adchoices

Com alta de 2,46%, VBP brasileiro deve fechar o ano acima de R$ 1,14 trilhão. Em entrevista ao Agrolink News, Fava Neves destaca o volume das exportações do agro brasileiro no semestre. Professor também ressalta a melhora da imagem internacional do setor. Especialista em agronegócio aponta que Brasil é o principal responsável pela produção mundial de alimentos. Japão suspende compra de carne de frango e derivados de Santa Catarina. Quarta-feira será marcada por chuvas em SP e geadas no RS.

Com soja recorde, safra de grãos 23/24 no Paraná pode chegar a 46,6 mi/t. Destaque também para o bom desempenho dos cereais de inverno. No Rio Grande do Sul, soja é responsável por 43% do VBP estadual e chega a R$ 116 bilhões. USDA projeta aumento na produção e consumo de café em 23/24. Goiás: vazio sanitário da soja já está em vigor. Medida se estende até 24 de setembro e tem como objetivo prevenir e controlar a propagação de doenças e pragas nas lavouras. Semana começa com tempo seco entre o norte do PR e Matopiba.

VBP abrange 350 itens, incluindo grãos, proteínas animais, fruticultura, floricultura e silvicultura. Tendência é que os produtores mantenham estoque de grãos, em função de quedas nas cotações e nos prêmios de exportação, diz Conab. Mercado regulado de carbono tem potencial de movimentar R$ 128 bilhões no Brasil. Com novo limite de pagamento de R$ 15 mil, Goiás divulga edital do PAA 2023. Agrotempo: temporais na região Sul e frio na Bahia.

VBP estimado para este ano deverá bater novo recorde, desde início da série histórica em 1989. Lavouras têm faturamento previsto em R$ 835,5 bilhões e pecuária de R$ 343,8 bilhões. Mesmo com queda de 14%, safra de trigo em 2023 deve ser a segunda maior do RS. Vendas externas de café recuam em volume, mas aumentam em receita. Ciclone extratropical deve causar chuvas com rajadas de vento no Sul.

In this episode, SimiTree coding and OASIS-E experts explore the impact of outcomes on value-based purchasing (VBP), the measures involved, and the challenges faced by agencies in improving patient outcomes. Learn the role of social determinants of health, the significance of community resources, and the need for a holistic approach to patient care on healthcare outcomes. Tune in and join these experts for “From Good Publicity to Good Money: Successful Patient Outcomes Matter.” Links from this episode: Learn more about J'non: https://bit.ly/43zdTcQ  Learn more about our Coding and OASIS-E solutions: https://bit.ly/3WHGtq7  View our free on-demand webinars on this topic: https://bit.ly/3JVWjIK Follow us on social media! LinkedIn: https://bit.ly/3RR6KPy  Twitter: https://bit.ly/3DAXiM  Facebook: https://bit.ly/3LrB40Q  J'non Griffin, RN MHA, HCS-D, HCS-H, HCS-C, COS-C  Principal, SVP, Coding    J'non Griffin is a registered nurse with 30+ years of clinical and leadership experience as a field nurse, agency director, regional director, executive, and consultant for home health and hospice agencies. She is an accredited ACHC and CHAP consultant and an AHIMA-approved ICD-10-CM trainer/ambassador with certifications in home care coding (HCS-D), OASIS competency (COS-C), hospice coding (HCS-H) and home care compliance (HCS-C). A frequent national speaker, she is a collaborator for Decision Health's The Diagnosis Coding Pro, has published several manuals, and assisted with online coding/OASIS instruction modules. J'non earned a master's degree in health care administration in 2005. Charles M. Breznicky Jr, RN, MSN, MBA, HCS-D Senior Clinical Consulting Manager Charles M. Breznicky Jr is Senior Clinical Consulting Manager at SimiTree, specializing in enhancing Quality, Clinical, and Operational processes within Home Health Agencies. With a Master of Science in Nursing (MSN) and a Master of Business Administration (MBA) from La Salle University, he brings a unique blend of clinical expertise and strategic business acumen to drive positive transformations in the home health and hospice industry. John Rabbia, PT, DPT, MBA, MS, COS-C  Director, Operations Consulting John Rabbia is a dynamic and patient-focused Home Healthcare Executive known for his exceptional leadership in driving comprehensive quality and performance improvements while ensuring the highest standard of care. With a proven track record of skillful change management, operational acumen, and a talent for building high-performing teams, he consistently enhances productivity, efficiency, and employee engagement. Armed with a range of educational qualifications, including an MBA in Healthcare Management, advanced study certificates, and industry certifications, John combines his expertise with strong communication skills to foster organizational growth, compliance, and outstanding outcomes for patients in the home healthcare sector.

Mapa anuncia descontos de 25% no crédito rural para agricultores atingidos pela estiagem no Rio Grande do Sul. Milho se consolida cada vez mais como grande vocação brasileira, afirma ministro Fávaro. Com crescimento de quase 5%, VBP agro de 2023 é estimado em R$ 1,216 trilhão. Quinta-feira tem baixas temperaturas e previsão de geada no Centro-Sul do Brasil.

O Valor Bruto da Produção Agropecuária (VBP) mineira deve alcançar R$ 131,1 bilhões em 2023. A projeção aponta para o crescimento de 0,2% em relação ao ano anterior e foi calculada a partir do acumulado nos meses de janeiro a março. O indicador é uma estimativa da geração de renda no meio rural, realizada pelo Ministério da Agricultura e Pecuária, com dados do Instituto Brasileiro de Geografia e Estatística (IBGE), da Companhia Nacional de Abastecimento (Conab) e do Centro de Estudos Avançados em Economia Aplicada (Cepea/USP). SÔNIA NERI tem mais informações.

A carne suína tem previsão de acréscimo de 7,2% no VBP mineiro, alcançando uma receita de R$ 3,9 bilhões. A exportação segue favorável em relação ao volume e preço. No período de janeiro a março, foram comercializadas 4,1 mil toneladas de carne suína no exterior, com alta de 5,3% em comparação ao primeiro trimestre do ano anterior. Já em relação ao valor, o aumento foi de 11,6%, registrando US$ 8,6 milhões nos três primeiros meses de 2023.

VBP crescerá 5% chegando a R$ 1,2 trilhão, projeta Mapa. Para incentivar contratações, seguro rural terá investimentos de R$ 1,6 bi. Área plantada de trigo cresce mais de 6% no país. Frente fria mantém riscos de tempestade e possibilidades de geadas no Centro-Sul do Brasil.

Mato Grosso projeta novo aumento no VBP em 2023 chegando a R$ 110,2 bilhões. FPA defende tributação diferenciada para o agronegócio na reforma tributária. Paraná amplia número de propriedades com geração de energia limpa. Caí o custo de produção dos pecuaristas paulistas. Chuvas chegam a países vizinhos e podem chegar ao Centro-Oeste brasileiro.

O Acrimat Informa traz nesta 150ª edição as notícias sobre a suspensão das exportações de carne para a China. Na última quinta-feira, a China suspendeu o embargo às importações de carne bovina brasileira. a liberação das exportações é para as carnes de animais abatidos a partir do dia 24 de março. A terceira rota do Acrimat em ação está a todo vapor. Nove municípios irão receber o evento que conta com o tema: “O que realmente importa para ter lucro na pecuária”, os eventos serão palestrados por Antônio Chaker e Maurício Piona. A produção de carne bovina mato-grossense em 2022 registrou incremento de 2,04% comparado com 2021. O aumento na produção anual foi pautado pelo ritmo de alta nas exportações no ano passado e pelo aumento no número de abates do estado com o total de 4,69 milhões de bovinos abatidos, impulsionado principalmente pela intensificação no descarte de matrizes, que resultou em 1,85 milhão de fêmeas enviadas ao gancho.. Por fim, segundo dados do IMEA, Mato Grosso pode superar Goiás e Mato Grosso do Sul em Valor Bruto da Produção. Na pecuária mato-grossense, em 2022 o VBP foi de 25,97 bilhões, com probabilidade de alcançar 29,16 bilhões em 2023. Locução: Karol Garcia Texto: Augusto Camacho Apoio Técnico: Kátia Pacheco Edição e projeto gráfico: Péricles Cândido Musics by Audionautix http://audionautix.com Creative Commons — Attribution 3.0 Unported — CC BY 3.0

VBP é previsto em R$ 1,249 trilhão, maior resultado da série em 34 anos. Produtividade e preços agrícolas puxam o crescimento. No Mato Grosso, colheita da soja alcança 95% da área, diz Imea. Estado deve colher 44,3 milhões de toneladas da oleaginosa na atual temporada. Milho é destaque em movimentação no setor portuário neste começo de 2023. Chuva traz recuperação para lavouras do Nordeste.

Gripe aviária chega ao Uruguai e Brasil reforça vigilância. Atraso da colheita da safra de verão impacta no plantio de milho no país. Maior produtor brasileiro, Goiás terá aumento de 45% do VBP de tomate em 2023. Paraná vai fortalecer programas e ações de apoio à agroindústria familiar. Chuvas intensas são esperadas para região Sul.

Are you ready for the risk-based tsunami on the horizon?  If you are a frequent listener to this show, you understand just how seismic this shift to value-based care really is and why we need the right culture, people, processes -- fueled by capital – to spawn care delivery innovation.  It is in reimagining care delivery that we can truly deliver on the aims of improved outcomes, lower cost, better patient experience, and equity for all populations. Joining us in this Race to Value this week are two outstanding leaders in the value movement, Drs. Brian Silverstein and Yates Lennon.  We discuss how organizations should be preparing for the risk-based tsunami on the horizon through care delivery innovation. Dr. Brian Silverstein is the Chief Population Health Officer for Innovaccer, a leading healthcare technology company committed to helping healthcare care as one. He is an expert in value-based care delivery and health system transformation with vast experience in helping providers improve population health initiatives.  And joining him in this interview is Dr. Yates Lennon, the President of CHESS Health Solutions – a population health MSO empowering physicians and health systems to make the transition to value-based care. Dr. Lennon has extensive experience in quality, practice transformation, and physician engagement and has been instrumental in teaching health systems and providers across the country how to transform patient care and shift to value-based payment. If you are looking to understand the state and science of value-based care, look no further than this conversation with two of the leading minds in industry transformation!   Episode Bookmarks: 01:30 The seismic shift towards value-based care and the risk-based tsunami on the horizon. 02:00 Introduction to Dr. Brian Silverstein and Dr. Yates Lennon 04:30 Progressing in the value journey by understanding the landscape 05:45 Dr. Lennon provides an overview of the value ecosystem with varying adoption of risk in provider organizations. 07:00 “The days of sitting on the sideline are running out.  It is time to get started with value-based care if you haven't already.” 08:00 The State and Science of Digital Maturity at U.S. Healthcare Providers (a recent report from Frost & Sullivan, commissioned by Innovaccer) 09:30 Dr. Silverstein on the legitimacy of the value movement with perspective on how digital infrastructure impacts the pacing of adoption. 10:45 The differentiation of the technology stack utilized by providers accepting full risk-based payment. 12:00 Traversing the value landscape with emerging changes in payment model design focused on the reduction of health disparities. 13:30 Dr. Lennon on how VBP and population health technology tools are perfectly suited to address problems in health disparities. 14:00 Codifying the health equity design of the ACO REACH payment model into operational programs. 14:30 Ensuring access to care in a medical home – an example from Atrium Health Wake Forest Baptist 15:30 “Access is important in value-based care when attempting to address health equity.” 16:00 Focusing on the quality and performance improvement measures that can improve equity. 16:30 Clinical workflow optimization and the use of Community Health Workers to conduct patient outreach. 17:00 Leveraging community resources to address Social Determinants of Health (SDOH). 17:30 findhelp (formerly Aunt Bertha) and Unite Us as examples of technology platforms that can improve SDOH interventions and community partnerships. 18:15 Lifestyle coaching to improve health outcomes with dual eligible populations. 19:00 Dr. Silverstein explains how traditional healthcare will not able to improve population health outcomes in a silo. 20:00 The correlation between a patient's zip code and their overall health and wellbeing. 20:30 Dr. Lennon provides perspective on how the creativity of value-based care will improve models for patient engagement and care de...

The stories we share on Vietnamese Boat People are often harrowing tales of people surviving adversities and finding strength and resilience to move forward. Diving into their family histories and trauma, our interviewees can all be described as brave and introspective. And the same can also be said about our listeners. Over the years, listeners have reached out to us sharing how the podcast has given them a newfound connection with the culture. Our desire to bring people together to share stories and experiences, along with inspiration from podcasting colleagues Self Evident and PRX, led us to organize the first VBP listening party (kinda like a book club!).  Several members of the VBP team met up virtually to listen to and discuss episode 31: The Escape. It was our first time doing this as a group, and the experience was recorded in order to serve as a guide for anyone who wishes to do something similar. Our conversation became a deep dive into one of the most intricate stories we've featured, as well as a behind-the-scenes discussion about how the episode came together. We hope this inspires you to host your own listening party with students, communities or just with friends and families.   Featuring: Tracey Nguyen Mang, Saoli Nguyen, Matt Young, Bella Nguyen, Anthony Nguyen, and Brandon Nguyen The video version of this episode can be found on the VBP YouTube channel and on our videocast page. Episode Credits: Associate Producer: Saoli Nguyen VBP theme music: Clarity, Paulina Vo Other music: Hop In (Instrumental Version): Iso Indies

The Institute for Advancing Health Value has recently released two new Intelligence Briefs highlighting two major impactful events in the movement to value-based care. 2021 MSSP Performance Results Analysis:  The Institute analyzes 2021 performance data, sharing high-level program performance and examining savings across participation tracks, by the provider type, size and location of ACOs, and their experience in the program, and reflects on the future of the MSSP in light of the recently proposed changes to the program and the beginning of CMS's new capitated total cost of care model, ACO REACH. The ACO REACH Final Cohort:  The Institute analyzes the incoming final cohort of provisionally-accepted REACH ACOs within the context of the model's history, analyzing the roster relative to GPDC's current participants, and sharing expectations for the future.  (This Intelligence Brief was sponsored by Bamboo Health.) Check out this special bonus episode where Eric and Dan interview Kate de Lisle on her research analysis on these recent CMS announcements.  You may also download these Intelligence Briefs at  https://www.advancinghealthvalue.org/analysis-of-mssp-2021-and-aco-reach-2023/ Episode Bookmarks: 01:30 Download the new Institute intelligence briefs on the 2021 MSSP Performance Results and the ACO REACH Final Cohort 02:30 Background on Kate de Lisle, Senior Manager of Payment & Delivery Transformation at Leavitt Partners 04:00 Recently announced MSSP Results as an important bellwether for the success of the value movement 05:30 Total program savings of nearly $5.4 billion over the model's lifetime 06:30 5th consecutive year of net savings – has the MSSP demonstrated proof of concept? 07:00 Was 2021 a good year for the MSSP since the net savings wasn't quite as large as the year prior? 07:30 The average per beneficiary PMPM savings amount was $164 (double what it was in 2019) 08:00 81% of ACOs generated savings and 58% earned a Shared Savings bonus.  Quality scores were also high. 08:45 89% of ACOs taking downside risk generated savings (compared to 76% that saved in an upside-only track) 09:15 Risk-bearing ACOs generated $5.3M per ACO (compared to $2.9M for non-risk bearing) 09:45 ACOs led by physician groups realized the most savings. 10:00 Hospital-led ACOs realized a decline in savings. 10:30 Years of experience in the MSSP is no longer a straightforward predictive indicator of performance success. 14:00 Last month, CMS released the names of the 110 provisionally-accepted organizations selected to join the ACO REACH model starting in 2023 15:30 Only 47% of REACH applicants were provisionally accepted. 17:30 New cohort had similar profiles of selected groups accepting Global and Professional Risk. 18:00 New entrants are serving vulnerable and high-risk populations. 19:00 Groups moving from Next Gen ACO to ACO REACH 20:30 Far fewer payer-led ACOs in the new REACH cohort 21:30 What considerations did CMS take into account when selecting for participation in the new REACH program? 22:00 Sustained interest in ACO REACH from VBP enablement companies (e.g.Aledade, agilon health) 23:30 Provider-owned enablement companies participating REACH (e.g. Castell Health) 24:30 Upstart primary care companies accepted into ACO REACH (e.g. Oak Street Health, Iora Primary Care, ChenMed, Cano Health, Cityblock, ConcertoCare) 25:00 ChenMed  (a leading full-risk MA primary care practice in the country) is included in the new ACO REACH cohort. 25:30 OneMedical has also been accepted into the program. 26:30 The Institute for Advancing Health Value has a complimentary membership for provider organizations! 27:00 Will CMMI be sunsetting various APMs, including specialty care models like BPCI and CJR programs? 28:30 Kate speaks about the “weak signals” being broadcasted by CMMI around the future of the APM portfolio. 30:00 What impact will ACO REACH have on the CMS 2030 Goal?

When she was six years old, Nguyễn Phan Quế Mai and her family left their small village in northern Việt Nam for Bạc Liêu, a city located in one of the southernmost points of the country. As a northerner growing up in the south after 1975, Quế Mai witnessed the post-war devastation felt by those on both sides of the conflict. She gained a deep appreciation for the stories of all those around her, including the many boat people who were fleeing the country at the time. She had always wanted to be a writer, but initially pursued a career in business instead. But the dream to be a writer was always there. When Quế Mai published her first book of poetry in Vietnamese, there was no looking back. In 2020, she published THE MOUNTAINS SING, her debut novel and first book written in English. Set in 20th century Việt Nam, it tells the multigenerational tale of the Trần family as they experience several crucial moments in the nation's history. The novel became an international bestseller, as well as a testament to the power of Vietnamese stories. Credits: Executive Producer: Tracey Nguyen Mang Associate Producer: Saoli Nguyen (saolinguyen.com / IG: @saolinguyen) VBP theme music: Clarity, Paulina Vo Other Music: Before the War, Lama House; Dew Over Meguro, Lama House; Miika's Journey, Lama House; Where Legends Dwell, Lama House; Chapters, Aerian

My guest today is Bro. Jim Fellure, the director of the Victory Baptist Press located in Milton, Florida. I pastored for twelve years in Brewton, Alabama, not far from the Victory Baptist Press and I am thankful to have been introduced to Bro. Fellure and the work of the Press early on in my pastoral ministry. Bro. Jim has been a friend to me and I've followed the work of the Press closely over the years I've been acquainted with him. Back in 2018 the Victory Baptist Press assisted me in shipping a container of John and Romans to Zimbabwe, something a pre-cursor to what the Lord has since called our family to full-time. I sat down with Bro. Fellure recently to discuss the ministry of scripture printing and to get his insight into how the pandemic has affected the American church and what VBP is doing to sow the word of God in America in these last days. I thoroughly enjoyed the conversation with Bro. Fellure, as I always do, and I hope that you'll be blessed by it as well. Your feedback is welcome. You can email Bro. Lee at greatcommissionconversations@gmail.com.

▪好獸醫來讀書單元由台灣禮藍動保公司ELANCO獨家贊助 ▪ 第四季每週一中午12點播出，十個主題新知說給你聽 簡介： 指南目的在提供對目前知識的深入審查，並協助規劃和實施研究，來評估殺寄生蟲藥於減少蟲媒介病原 (Vector-Borne Pathogen) 在狗貓傳播的效果。目前，預防VBP在伴侶動物中的傳播，一般是透過使用能夠趨避repelling 或快速殺死節肢動物的產品，在傳播發生前阻止或中斷病媒進食來達到效果。本篇補充現有指南不足的方面，著重於治療、預防和控制跳蚤和壁蝨感染的殺寄生蟲藥的功效評估，但也針對其他媒介（蚊子和沙蠅）的研究提供準則。殺寄生蟲藥在減少病媒傳播病原體的的功效可以通過實驗室或田野調查來評估。因此，本篇指南為這些研究提供了建議，針對參與研究、開發和產品的研究人員、製藥公司和主管機關提供一些工具來確認產品效用，產品聲稱可以減少狗和貓的 VBP 傳播，同時尊重 3R 的整體原則（替換replacement、減少reduction 和優化refinement）。本篇同時強調了我們目前對VBP 傳播時間的差距，並討論了進一步基礎研究的必要性。 重點提要：什麼因素會影響蟲媒介病原體的傳播？殺寄生蟲藥如何預防 VBP 傳播？殺寄生蟲藥是否如宣稱的有效？如何審查研究結果？跳蚤吸血時機？殺寄生蟲藥作用時機與方式？如何預防壁蝨媒介的病原？如何預防心絲蟲的傳播？ ▪官方網址 https://www.wondervet.com.tw ▪請主持人喝杯咖啡 https://pay.firstory.me/user/ck4fgb04n698h0804wzdkaycj Powered by Firstory Hosting

In this episode, we interview Ken Terry, author of one of the best-researched books we've ever seen! The new book, Physician-Led Healthcare Reform: A New Approach to Medicare For All, explores why we must, and how we can, get doctors to change how they practice. Most employed physicians and independent physicians alike feel powerless. Hospital-employed doctors feel like cogs in a machine, and community doctors are increasingly threatened by forces beyond their control. The biggest problems of physicians--both employed and independent--are a loss of professional autonomy, overwhelming administrative requirements, and the conflict between business and patient care imperatives. This book, directed to physicians, healthcare administrators, health policy experts, politicians, and consumers, explains why the U.S. healthcare delivery system must be restructured to lower costs--and how to do it. Physician-led healthcare reform will give them back a large measure of control and pride in their work. Ken Terry has been writing about health care for more than 25 years. He was a senior editor at Medical Economics, has contributed to numerous publications, including Medscape Medical News, Information Week, and FierceHealthIT, and has received several journalism awards, including the Neal Award from American Business Media. He's also authored the book RX for Health Care Reform. You can read more of Ken's work, including articles and blogs at his website: https://physicianledreform.com. Episode Bookmarks: 3:33 The progression of value-based care over the last decade (e.g. hospital VBP program, BPCI, the mandatory bundled payment program CCJR, CPC, MSSP) 6:20 Consolidation of the healthcare system and employment of doctors driving up costs 7:33 ACOs led by health systems are not as successful as physician-led ACOs in the MSSP 7:58 The first wave of managed care did little to move provider organizations towards taking financial risk (with the exception of Kaiser Permanente and a few others) 9:18 The push towards value-based purchasing in the Obama Administration (e.g. P4P, bundled payments) did not go far enough to change industry appetite towards risk 10:00 Advancement of medical technologies have been driving up healthcare costs (not lowering them) 10:42 “The evidence shows that where you have more primary care physicians, where you coordinate care, and where you pay to keep people healthy, you get better outcomes at lower cost.” – Dr. David Nash 11:31 Research by Barbara Starfield showing that a higher ratio of PCPs to the population is associated with a lower mortality rate from all causes, heart disease and cancer 11:50 States where a higher percentage of physicians who were PCPs have higher quality of care and lower cost per beneficiary 13:00 The impact of medical school debt burden on the supply of primary care physicians and the relegation of PCPs to lower tier status in the medical community 13:51 How Advanced Practice Providers are filling the void to meet unmet primary care needs 14:32 Retail clinics and urgent care centers competing with PCPs 14:53 “The best way to reduce costs and improve outcomes in healthcare is to have larger groups of primary care doctors taking financial risk and competing on quality of care in local areas.” 15:20 Changes that would need to occur before we implement Medicare-For-All health reform (i.e. hospital payment parity, corporate practice of medicine restrictions) 16:10 Proposing federal requirements of hospitals divesting of their medical practices 16:35 Medicare-For-All option that would pay PCPs Medicare rates unless they join a larger primary care group and take financial risk for a larger upside opportunity 17:22 Primary care groups choosing high-value specialists to contract within their network 17:51 Placing primary care in charge of the healthcare system to build medical neighborhoods