While CMMI did not announce specific changes or new programs as of yet, the focus on value-based care, aligning financial incentives through value-based payments and health equity — and making more progress faster — is clear.
As providers and payers grapple with the best ways to address social determinants of health (SDOH), they are neglecting an important and readily available tool to improve outcomes and costs. That tool is Z codes.
Given the proliferation of plan types, physicians and health systems have their pick. How, then, can any plan type or insurer, especially a startup, stand out in a crowded marketplace? And build a plan to last?
The national trend across all lines of business toward more risk arrangements means most health systems and physician groups are operating in pluralistic payment environments. They earn some of their revenue through traditional fee-for-service and other portions come from shared savings, bundled payments, capitation and other value-based payments.
COPE Health Solutions is a national mission-driven consulting firm that partners with health systems and payers to develop and implement comprehensive population health management, data analytics and workforce development strategies.