Medical Economics October 14, 2020
Achieving accurate, transparent, and replicable monetary estimates of shared savings in value-based care
With the passing of the Medicare Improvements for Patients & Providers Act in 2008, value-based healthcare has steadily become the cornerstone reimbursement methodology to change provider behavior from transaction-based care to longitudinal, patient-centered care. With the Centers for Medicare & Medicaid Services (CMS) Primary Cares Initiative launched in January 2020, CMS is aggressively moving the market toward value-based reimbursement. In the commercial payer space, several commercial payers have dedicated significant people, processes, and technology to create value-based arrangements across the healthcare landscape. All of these payers, representing the continuum of public and private insurers, are striving toward a common aim initiated by CMS – reform...
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