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VALUE-BASED REIMBURSEMENT

How finance leaders can drive alignment between health plans and physicians

From hfm magazine: Moving from theory to practice in value-based payment has proven more difficult than was originally anticipated. Although the promise of a focus on value—higher-quality, more cost-effective and efficient care—remains compelling, progress has been hampered by the sheer complexity of the steps required to achieve that promise.

A 2018 survey of health plan executives and physicians suggests that the move away from fee for service may have even lost ground due, in part, to difficulties in forging payer-provider alignment around value. Success will remain elusive without a deeper level of commitment and trust among all key stakeholders. The care process must be more closely aligned with the economics that pay for and reward high-quality care and appropriate utilization and a healthcare organization’s fundamental administrative framework.

Click below to download the full article from hfm magazine as Dr. Emad Rizk explains how finance leaders can drive clinical, economic, and administrative alignment between payers and providers to achieve this goal.

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WRITTEN BY

Emad Rizk, M.D.
Emad Rizk, M.D., joined Cotiviti (formerly Verscend Technologies) in August 2016 and serves as chairman, president, and CEO. He brings a 30-year, well-documented track record of delivering improved quality and financial performance to healthcare organizations through forward-thinking leadership, business acumen, and clinical expertise. Notably, under Dr. Rizk’s leadership, Verscend Technologies completed a $4.9 billion acquisition of Cotiviti Holdings, the largest payer analytics acquisition of 2018. Dr. Rizk has been named by Modern Healthcare numerous times as one of the “50 Most Influential Physician Executives in the United States” as well as the “Top 100 Most Powerful People in Healthcare.” He is author of The New Era of Healthcare: Practical Strategies for Payers and Providers.

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VALUE-BASED REIMBURSEMENT

How finance leaders can drive alignment between health plans and physicians

Emad Rizk, M.D.

Aug 20, 2019

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