A payer’s guide to administering value-based arrangements

Strategies for successful value-based contracting and funding

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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About MedeAnalytics

With over 30 years in the industry, MedeAnalytics is a leader in healthcare analytics. Using a data fabric enabled cloud platform, our SaaS solutions run on cutting-edge innovation and enable measurable impact for healthcare payers, providers and payviders. With the most advanced data orchestration and interoperability in healthcare, organizations count on us to deliver actionable insights that improve financial, operational and clinical outcomes. To date, we’ve helped uncover millions of dollars in savings annually. To learn more, browse our website, LinkedInand featured insights.