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.
State legislators roll back Indiana hospital bill that could have cut payments to hospitals
Health plans seeking state legislative help with site-neutral payments will likely find allies among employers who are increasingly frustrated with healthcare costs.
Atrius Health: Experience with global-risk contracts paves way to success in new arrangement
Previous success in risk-based contracts will allow Atrius Health to thrive in its new global-risk arrangement with Blue Cross Blue Shield of Massachusetts, two of the provider’s leaders write.
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.
A closer look at healthcare payment methods
A short description of payment methodologies offers context on the argument about whether fixed fees are preferable to percent-of-charge provisions.
Why removing percent-of-charge provisions in managed care contracts won’t address concerns about high hospital charges
Removing percent-of-charge provisions in favor of fixed fees would not remove the factors that drive price increases, nor would it reduce administrative hassles or decrease risk.
‘We were completely wrong’: How Henry Ford Health System won a major direct contract
How one health system won a large direct contract as such arrangements become more widespread.
Why initiate health plan contract testing?
Various circumstances require providers to prepare for the impact of payment changes.
How to use contract testing and analysis to prepare for payment change
Whether a contract is new or up for renewal, a thorough understanding of the financial implications of changes to provider-payment terms is vital for continued operations.
How one ACO leveraged universal truths of value-based contracting for success
A finance leader of successful East-coast accountable care organization describes the key factors that have enabled the ACO to thrive under value-based payment contracts.