Modern Healthcare February 27, 2020
Emmet O’Gara, EVP, Group President – Population Health Management, HMS

As value-based care gains momentum, healthcare systems and insurers are looking at care with a new lens. Reimbursement is dependent on positive patient outcomes, not the volume of services rendered. As a result, providers must take a team-based approach to care that focuses on the whole person, not just the conditions that patients present at a given point in time.

Within five years, value-based care could be the norm for most patient populations. The Health Care Payment Learning and Action Network, a public-private partnership established by the Centers for Medicare and Medicaid Services, has set aggressive goals. By 2025, they expect 50% of Medicaid and commercial insurance payments and 100% of traditional Medicare and Medicare Advantage...

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Topics: Health System / Hospital, Patient / Consumer, Payment Models, Physician, Population Health Mgmt, Provider, Technology, Value Based
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