added by sari · updated 2y ago
Value-Based Care as Integrated Care
- These arrangements differ from the more common ‘fee-for-service’ model, in which the insurer is billed for each service rendered by the provider. Under this arrangement, the insurer is the one bearing nearly all financial risk.
from Value-Based Care as Integrated Care by Steve Hardgrove
sari added 3y ago
- As with anything, there are some downsides to value-based care. First, because the financial risk is shifting from the insurer to the provider, the provider needs to be compensated for taking on that risk, meaning they might need to charge higher rates overall. Risk-bearing is a core strength for insurance companies; they’re good at measuring risk ... See more
from Value-Based Care as Integrated Care by Steve Hardgrove
sari added 3y ago
- Value based care is a way that insurers agree to compensate providers for their services, in which the provider takes on some financial risk, and receives some financial upside in return.
from Value-Based Care as Integrated Care by Steve Hardgrove
sari added 3y ago
- This is not to say that fully vertical systems are a panacea: they of course have their own drawbacks. For one, they limit patient choices (because your insurance dictates a narrow range of providers that you can see). However, value-based care contracts that create only a partial alignment between payers with providers contain many of the same dra... See more
from Value-Based Care as Integrated Care by Steve Hardgrove
sari added 3y ago
- The second downside is that, because providers are now incentivized to provide care more cheaply, they may under-treat patients, or recommend against necessary treatments.
from Value-Based Care as Integrated Care by Steve Hardgrove
sari added 3y ago