Cotiviti Blog

How finance leaders can drive alignment between health plans and physicians

Written by Emad Rizk, M.D. | Aug 20, 2019 7:19:04 PM

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.