Medical Economics March 6, 2023
Todd Shryock

As payers push docs to shoulder more risk, practices need to develop a strategy to maximize revenue

Value-based care is becoming increasingly popular with payers because it reimburses for outcomes rather than services putting a greater focus on the long-term health of the insured. Physicians have been slow to move away from traditional fee-for-service, but there are growing cost pressures in health care to reduce spending and payers see value-based care as the best method to address the issue.

In order to entice more physicians to make the jump to value-based contracts, payers will often offer risk-adjusted models where the physician assumes some of the financial risk, but also shares in the savings. If a practice is efficient...

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Topics: ACO (Accountable Care), Insurance, Interview / Q&A, Payer, Payment Models, Physician, Provider, Trends, Value Based
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