RevCycle Intelligence November 17, 2021
Over half of health systems also said they plan to advance risk-based payments or some form of capitation in commercial lines of business.
Health systems are planning to advance their risk-based payment strategies by taking on more upside or downside risk, professional capitation, or global capitation in Medicare Advantage lines of business in 2022, according to a recent survey.
The executive survey conducted by the Healthcare Financial Management Association (HFMA) for the Guidehouse Center for Health Insights found that nearly 60 precent of health systems are looking to advance into risk-based Medicare Advantage models in the next year. That is a 14 percent increase compared to a June 2019 Guidehouse/HFMA analysis, Guidehouse pointed out.
But Medicare Advantage...
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