McKinsey August 19, 2020

Several factors will shape the financial performance of physician- and hospital-led organizations under total cost of care payment models.

This article is a collaboration by Nikhil R. Sahni, a partner in McKinsey’s Boston office; Rachel Groh, a consultant in the Boston office; David Nuzum, a senior partner in the New York office; and Michael Chernew, a professor at Harvard Medical School and the Chair of Medicare Payment Advisory Commission (MedPAC).

Introduction

Broad consensus has long existed among public- and private-sector leaders in US healthcare that improvements in healthcare affordability will require, among other changes, a shift away from fee-for-service (FFS) payments to alternative payment models that reward quality and efficiency. The alternative payment model that has gained broadest adoption over...

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Payment Models, Physician, Primary care, Provider, Value Based
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