Health Affairs June 1, 2018
Despite the growth of commercial gain-share—also known as Accountable Care Organization (ACO)—arrangements, a lack of consistent contract structures and terms has hampered the adoption of value-based care. This is particularly true for independent physicians, only 34 percent of whom enter commercial gain-share arrangements. National payers have unanimously voiced their goal to move towards value-based arrangements. To be successful, these efforts must engage the nearly one out of every three physicians who identify as an independent provider. This post proposes a principle-driven approach to align the incentives of payers and providers to facilitate greater adoption of new value-based payment models and to avoid common pitfalls in ACO contract negotiations.
Payer Value-Based Contracting Goals
The Affordable Care Act created the Medicare Shared...
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