Healthcare IT News July 26, 2022
PwC

As value-based programs that reimburse providers based on the delivery of high-quality care replace those based on the quantity of care provided, healthcare organizations must prepare for managing this change while maintaining compliance.

Value-based programs reimburse providers based on the delivery of high-quality care to their patients rather than the quantity of care provided (fee for service). As Medicare Advantage (MA) enrollment has risen 10% per year over the past two years, value-based reimbursement across your organization may also see an uptick. In 2021, more than 26 million people were enrolled in Medicare Advantage plans (43% of the total Medicare population) and accounted for $343 billion (or 46%) of total federal Medicare spending. Preparing your organization to help manage this...

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Topics: Insurance, Interview / Q&A, Medicare Advantage, Payer, Payment Models, Provider, Trends, Value Based
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