Tag Archives: risk-based reimbursement

Sowing the seeds of change in value-based care

Any business leader will tell you that keeping up with market shifts is crucial for financial success. That is especially true in health care today. As the market moves from fee-for-service to fee-for-value reimbursement, organizations face huge challenges in transforming their operations, finances, physician relationships, culture and patient engagement — all while the industry moves […]
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The risks and rewards of value-based contracting

In the new Optum white paper, “The speed of transformation: Preparing for the payment models of tomorrow,” we discuss the drivers that are pushing the move to value-based reimbursement. One area that will see some of the greatest — and fastest — changes is contracting with payers. Moving to fee-for-value creates significant financial risk for […]
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Keeping up with the fast-moving changes of value-based health care

Any business leader will tell you that keeping up with market shifts is crucial for financial success. That is especially true in health care today. As the market moves from fee-for-service to fee-for-value reimbursement, organizations face huge challenges in transforming their operations, finances, physician relationships, culture and patient engagement — all while the industry moves […]
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Data and analytics support one IPA’s risk-based business

In our last blog, we talked about how AppleCare Medical Group, an independent practice association in California, is helping manage patient risk by making sure its physicians are happy. Engaging physicians and keeping them on board as you move to risk-based reimbursement is a must, said AppleCare’s Surendra Jain, MD. Physicians will participate, he said, […]
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Physician relations: A key to managing patient risk

In our last blog, we introduced AppleCare Medical Group, an independent practice association in California that has successfully managed risk since its inception in 1996. The IPA has done so by following a number of guiding principles, including carefully analyzing its new contracts to make sure the opportunities and risks each one presents is clear.

AppleCare: Understanding how one IPA successfully manages risk

How do providers with no patient risk-bearing experience prepare for their transition from volume to value? The experience of one independent practice association (IPA) in Southern California, AppleCare Medical Group, offers some valuable insight.