MedCity News June 28, 2020
Health plans have already begun their triple aim journey down the path of VBC, but often they are building this initiative on an infrastructure that lacks the needed scale, transparency and efficiency.
There is broad consensus across the healthcare industry that value-based care (VBC) is a positive step towards achieving the “triple aim” of healthcare: better healthcare experiences and improved health outcomes at lower costs. However, as health plans move towards quality over quantity-based reimbursement models, they are under immense pressure to ingest and operationalize new datasets to properly inform and pay the providers that have transitioned to VBC contractual arrangements. If health plans do not better align their data management, payment management and reporting execution capabilities to enable their...