Medical groups are under increasing pressure to engage in risk-based contracts with payers. As organizations engage in pay-for-performance and shared savings contracts, they face challenges in creating the infrastructure necessary to assume risk for a population. Organizations that have been successful in risk-based contracts have established partnerships with payers in a way that shares risk and collectively builds the appropriate infrastructure that’s crucial for success. This presentation provides insights from payer and provider perspectives, providing a blueprint for building key elements, including contract terms, infrastructure, data sharing, and care management. Several case studies will be presented in a shared learning environment geared toward building competencies in risk-based contracting .
Learning Objectives:
Discover the elements vital to building a risk-based contact and in working with payers.
Manage key elements for achieving success within shared savings and risk-based contracts.
Produce a value-based payer strategy and appropriate infrastructure within a risk-based environment.
.jpg "Daniel Marino, MBA, MHA photo")
