About This Webinar
Historically, U.S. health care providers have been reimbursed on a FFS basis. The health care payment system has evolved over the past few decades and at an accelerated pace since passage of multiple health care reforms. There is an accelerating shift from traditional FFS reimbursement models to Value Based Risk sharing models in the industry. This incentive relationship between payers and providers is reflective of the value based bonusing relationship that exists between CMS, States and Payers for programs such as Stars. Success for all parties depends on alignment of incentives, measures and actions to drive optimal outcomes.
This webinar will provide a framework for creating alignment between Payer and Provider incentives that will drive higher quality and improved financial outcomes for all parties.
Attendees will learn how to identify and address potential barriers to success including:
- Data deficiencies that lead to incomplete and inaccurate pictures of care
- Misalignment and miscommunication of outcome measures that are common and core to VBC and Stars
- Provider abrasion/ frustration with inefficient program frameworks
