Alternative Payment Methods in ENT
(Room Elm Fork II)
11 Sep 15
9:00 AM
-
10:00 AM
Tracks:
Healthcare Today, Human Resources
Five years post-Affordable Care Act (ACA), we have a plethora of pilot programs from accountable care organizations to health homes to bundled payments. To balance the growth in demand of services with healthcare supply and utilization, our country is undergoing a paradigm shift as relates to provider and patient cultures. Whether intended or not, the healthcare market is consolidating to produce community-based ecosystems. Logically, there should be interconnectedness between various components of an ecosystem, including insurance, payment, delivery, and patient experience and outcomes. Done right, the community model of care delivery creates tremendous value and is a strong contender to accept risk-based contracts - a growing change being demanded by payers and even consumers of healthcare. Join Ms. Allison as she explores the waters of payment transformation. Learn the fundamentals associated with risk-bearing arrangements including capitation, bundled payments and gain-sharing. Ms. Allison will provide insight into growing trends, opportunities and administrative challenges.