Insight

“I’m in charge of which patients?”: A physician’s dilemma to the changing healthcare payment landscape

The expansion of Value-Based Care has brought health plans, providers, and patients into alignment in their desire to achieve quality care and...
Stephanie Mehlman
Insight

Two-sided risk models generate more utilization savings

Health care industry observers frequently  ask “is value-based-care finally gaining traction in the industry?” and skeptics will follow with “is value-based care...
Jason Lee & Theresa Osunero
Insight

Incentivizing non-clinicians to improve value-based care performance

In healthcare, building a culture of “going the extra mile for patients” can help overcome a lack of targeted incentives. Many healthcare...
Jason Lee
Insight

Patient health status documentation requires a human touch

The Medicare Advantage (MA) program relies on honest and reliable risk adjustment to appropriately reimburse payers. What happens when MA companies use...
Jason Lee
Insight

Thoughtful incentives will drive the changing landscape of provider reimbursement

The time for evolution of physician compensation to a value-based model is upon us. The 2010 passage of the Affordable Care Act...
Jason Lee