Giving Compass’ Take:
• Megan Charles explains how data and value-based care can unite payers and providers to improve healthcare.
• How can funders help to shift healthcare models to increase access and decrease costs?
Payer-provider convergence combines two traditionally disparate interests — the healthcare systems that deliver care and the insurance carriers that assume the financial risks for patient populations. It encompasses the technologies and strategies that promote a more efficient and transparent exchange of information between healthcare payers and providers to improve care and lower costs.
In response to providers and insurance carriers assuming more risk, growing concerns with negotiating fair reimbursements and a shift from volume- to value-based payment models, payer-provider partnerships are emerging as a trend that may someday sweep the healthcare industry.
Payer-provider partnerships are often established to address ever-increasing care and administrative costs. They’re also considered a logical evolution for ACOs, the goal being to enhance the quality of care by focusing on wellness and prevention while reducing costs.
Read the full article about unite to improve healthcare by Megan Charles at Tech Target.
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