RevCycle Intelligence May 16, 2017

An industry expert advised health systems to check off key capabilities, such as a large population and data access, before implementing population-based alternative payment models.

To succeed in population-based alternative payment models with two-sided financial risk, health systems should embrace assuming the role of the payer and work to get all staff on board with the model, suggested Jackie Selby, a healthcare and life sciences member at the consulting firm Epstein Becker & Green, PC.

Population-based alternative payment models, such as capitation payments, require providers to assume the majority of financial and clinical risk for select patient groups. The models aim to incentivize providers to improve care quality while ultimately reducing overall healthcare costs.

However, the shift of financial risk...

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Topics: ACO (Accountable Care), CMS, Health IT, Health System / Hospital, MACRA, Medicaid, Medicare, Patient / Consumer, Payer, Physician, Population Health Mgmt, Primary care, Provider, RCM (Revenue Cycle Mgmt), Value Based
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