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A payer’s guide to administering value-based arrangements

Strategies for successful value-based contracting and funding

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The foundation of value-based care is its underlying contractual arrangements. To put it simply, this is what establishes how a provider is reimbursed by a contracting entity (i.e. payer, ACO, employer). Value-based contracts are grounded on clinical performance with mutually agreed upon quality, financial and patient experience targets that must be met to achieve value-based rewards. These contracts can be highly varied and complex with different payment models and levels of risk. Success in the expansion of value-based care hinges on payers’ ability to operationalize and automate the alignment of incentives and outcomes.

 

Open this ebook to find:

  • Key issues that payers are facing in the value-based care environment (and how to solve them)
  • Four main components of successful value-based contract administration
  • Readiness assessment for building a value-based contract administration strategy
  • Tech-enabled strategies for sustaining the collaboration necessary to address social determinants of health, facilitate value-based payments, and produce quality reporting

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