A free white paper from the Taconic Health Information Network and Community, a health information exchange serving the Hudson Valley region of New York, covers contracting and business intelligence issues that providers will face as they move into value-based payment models and accountable care organizations.
The HIE brought together providers and payers to discuss each other's concerns and priorities. The paper lays out issues providers should consider before talking to commercial insurers participating in ACOs, and also addresses payer concerns about new payment methodology trends in the industry.
"Physicians need to understand the financial risks, how patients will become part of their panels, what quality measures will be used and whether accurate, actionable and timely data will be made available to bolster their efforts around care management and population health," says Hal Teitelbaum, M.D., a THINC board member and CEO of Crystal Run Healthcare, a large group practice in Middletown, N.Y. "These are among the nuts and bolts of the transition from a fee-for-service model to one based on outcomes-based payments. Physicians want--and need--to be partners in the design and implementation of these innovations in health care delivery."
The white paper, "Building ACOs and Outcome-Based Contracting in the Commercial Market: Provider and Payer Perspectives," is available at thinc.org.
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