MCOL November 10, 2021
MCOLBlog

The Guidehouse Center for Health Insights has just released analysis of an executive survey in conjunction with HFMA, the 2021 Risk-Based Healthcare Market Trends, that found health systems appear to be going big into risk sharing in 2022, with these percentages of respondents planning to advance into upside/downside risk sharing, professional capitation or global capitation for:

  • Medicare Advantage: 59%
  • Commercial Contracts: 52%
  • CMS APMs: 49%
  • Managed Medicaid: 36%
  • Direct Employer Contracting 33%

Guidehouse’s Richard Bajner tells us “We’re seeing increased interest from providers to own the premium dollar through risk-based arrangements. On the other hand, large payers have been more aggressive in building and even investing directly in primary care assets to gain control over the...

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Topics: Employer, Insurance, Medicaid, Medicare Advantage, Payer, Payment Models, Provider, Survey / Study, Trends, Value Based
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