Medical Economics July 9, 2024
Rajiv Mahale

As value-based care adoption grows, payers and providers must find the right tools to transform adversarial interactions into partnerships that put patients at the center of care.

Within the health care system, payers and physicians have long operated at odds with one another. While both have a goal to improve patient and member health, their approaches often differ, creating friction. Physicians get frustrated when they have limited information about how data are collected and used to calculate patient attribution and payments. They may feel powerless to control factors for which they are held accountable, and payments are at risk, particularly when there are gaps in electronic health record (EHR) data for cost and quality, or they have limited insights into...

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Topics: Insurance, Payer, Payment Models, Provider, Value Based
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