Tag Archives: payer contracting

Solving the health care risk challenge

Did you know that one-third of Americans’ health plan coverage will be part of a shared-risk program by 2020? In fact, more than 90 percent of health plans already include value-based reimbursement contract terms with their network providers. The transitioning market has created the Triple Aim, where quality of care, more affordable care and patient […]
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Changing reimbursement models requires changes to physician compensation models – the value of unblinded performance metrics

In my final blog related to changing reimbursement models requiring changes to physician compensation models, I want to identify the value of sharing unblinded information once physicians have approved, digested and absorbed the compensation model. Many of the organizations I have talked to find unblinded incentives to be a very powerful tool. However, you need […]
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Changing reimbursement models requires changes to physician compensation models – A structured approach to implementation

My previous blog, “Changing reimbursement models requires changes to physician compensation models – Characteristics of value-based compensation model,” outlined that as provider organizations move to risk-bearing contracts there are characteristics that go beyond just measuring quality of care and patient outcomes. A structured approach to engaging physicians is required to ensure long-term adoption and ultimate […]
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