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NETWORK AND CLINICAL ANALYTICS

Webinar: The path to adopting a successful Alternative Payment Model

While adoption of value-based payment models in the U.S. healthcare system has been slow and at times arduous, a recently released report by the Health Care Payment Learning & Action Network revealed that as of 2020, an estimated 60.7% of payments were tied to quality or value in some capacity, including pay-for-performance, shared-savings, shared-risk, and population-based arrangements. The remaining 39.3% of payments were strictly fee-for-service. While these figures varied between traditional Medicare, Medicare Advantage, Medicaid, and commercial payers, these data appear to indicate an encouraging trend toward value-based payment adoption.

Meanwhile, in its October 2021 “strategy refresh,” the Centers for Medicare & Medicaid Innovation (CMMI) set the following goals:

  • All Medicare beneficiaries with Parts A and B will be in a care relationship with accountability for quality and total cost of care by 2030.
  • The vast majority of Medicaid beneficiaries will be in a care relationship with accountability for quality and total cost of care by 2030.

As CMS and private payers look to engage in Alternative Payment Models (APM), creating a pathway to risk partnerships with providers can illustrate the advantages of moving to risk long-term while giving provider organizations time to adapt. But this requires investments in provider network management, population health, advanced analytics, and more.

I hope you’ll join me and my colleague Ryan Melander for our on-demand webinar as we review:

  • The reimbursement landscape: past, present, and future
  • The components of a well-designed APM for successful adoption and outcomes
  • Best practices for effective interactions between payers and providers to support APM success

Watch the webinar

Don’t miss this opportunity to learn new ways to create a common language centered on risk and quality between payers and providers.

WRITTEN BY

Mary Srinivas
Mary Srinivas is senior program manager for consulting and supports Cotiviti’s Quality and Performance solutions, bringing 20 years of healthcare experience to her role. She is responsible for leading the consulting relationship for clients using the Network Intelligence solution, developing insightful recommendations and solutions to meet client needs for understanding value-based performance. She also works to enhance cross-solution use of Cotiviti products.

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