How to achieve best-in-class capability for value-based risk contracting
Health systems embarking on value-based contracting should give attention to three areas: understanding market profit pools, acknowledging inherent challenges in the health plan market, and developing the key elements that are essential for success.
Cautionary tales: Why some payer-provider initiatives have stumbled
Health system leaders that are considering launching a provider-sponsored health plan can take a lesson from the experiences of organizations that faced challenges in pursuing such a strategy.
Payer-provider partnership success stories
Partnering with a health plan has been shown to be an effective strategy for health systems undertaking a value-based payment strategy.
A tailored approach to value-based care product development
To be successful, a value-based-payment initiative must be tailored to the provider organization's market and capabilities.
Assembling the essentials for successful population health management
A high-performing clinical network, and a focus on patients presenting high or emerging risk are two key elements that health systems must have in place to be able to succeed with population health management.