Alcohol and drug dependency treatment goals can tied to an insurer’s pay-for-performance incentive program. Here’s how.
Ten recent policy reports show a consensus on reducing the role of fee-for-service pay structures, says Paul Ginsburg
Fear and dosing schedules are barriers
Florida Blue creates single-specialty ACOs
Consider shifting to condition episodes and linking member benefits
Modernize delivery models and help PCPs do more now and in the future
ACOs, bundled payment, shared savings require new capabilities and new culture
Catalyst for Payment Reform has released a national scorecard describing the current state of value-oriented payment, finding that about 11% of commercial payments are tied to value
Paying for performance will cause many health plans to rethink how they contract with provider networks, and experts say there are tremendous changes ahead.
A health plan's approach to provider reimbursement is rooted in the need to move from traditional fee-for-service models to a payment model that accounts for providers adhering to best practices.