Value-Based Care Insights

Navigating Value-Based Contracting Products


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Many hospitals are experiencing increasing workflow challenges due to high inflation rates. As a result, government and commercial payers are responding in unique ways.  

On this episode of Value-Based Care Insights, host Daniel J. Marino discusses economic challenges in health care, particularly hospitals and physicians. We’re joined by commercial insurance and government reimbursement expert, Cliff Frank. 

 

KEY TAKEAWAYS: 

 

  • Hospitals and other health care facilities are facing a number of challenges, and inflation is a key component to internal issues. It’s essential that providers have an understanding on how to navigate an ever-changing infrastructure. 

  • Risk contracting has been a common issue for hospitals as payers are making money on empty hospitals and slower ORs. This obviously increases the need for better contracts between payers and providers. 

    • The ACO module has changed drastically, impacting how care is coordinated for Medicare patients. 

    • ...more
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      Value-Based Care InsightsBy Lumina Health Partners

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