[Video] How Health Systems Should Be Thinking About Payer Contracts
Trilliant Health, July 21, 2020
"It is widely recognized that the rate of healthcare spending in the U.S. is unsustainable. In recent years, experts of all types, from academia to policy makers, agree that the traditional fee-for-service (FFS) approach is a major contributor to our country’s outlier status in cost-to-quality performance. In response, both commercial payers and the government have been working to shift the mechanism for provider reimbursement from volume-based to value-based incentives predicated on quality and efficiency." Listen to Trilliant's Adam Peebles and Jason Nardella discuss strategies on how health systems should be approaching their payer contracts.
[Article] The Value in Health Care Act: What Does It Mean?
The Keckley Report, July 27, 2020
The Value in Health Care Act is short and sweet: 11 pages. It recommends changes in calculations of how Medicare savings are measured and how much physicians, hospitals and their business partners get to keep as Qualified Providers in an approved Accountable Care Organization. It’s straightforward: the 13 sponsoring organizations are simply asking for changes to MSSP that will increase their likelihood of reducing Medicare spending so they can share in the upside.
