Over the past few years, there has been a significant increase in value-based care programs offered by health plans and government payers including accountable care organizations, bundled payment programs, pay-for-performance and quality improvement programs. These programs often include a multitude of measures related to costs, quality, patient experience, and outcomes, along with sometimes complex methodologies to determine success.
Given the increasing financial impact associated with these programs, it is important for providers to understand the program’s intricacies as well as the analytical, operational, and clinical requirements to ensure its success. This paper discusses how success with these programs is possible.
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