Driving Value-Based Reimbursement with Integrated Care Models
The burgeoning fee-for-value environment is rewarding networks of providers who collaborate and coordinate care, bridging the gap between health systems and physicians and sparking dialog and care compacts between primary care and specialists.
Even top-performing Pioneer ACOs are rethinking the role of specialists in care coordination.
And after a successful pilot and system-wide rollout of its practice transformation initiative, WellPoint is poised to move to the next level, building a bridge between primary care and specialty practice transformation to create a medical neighborhood.
Driving Value-Based Reimbursement with Integrated Care Models examines WellPoint's practice transformation effort and the reimbursement models that support it, while providing a framework in which to evaluate the patient-centered medical neighborhood (PCM-N) model.
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In this 45-page resource, Julie Schilz, director of care delivery transformation for WellPoint, and Terry McGeeney, MD, MBA, director of BDC Advisors, share their visions for this emerging care experience, from structuring incentives and reimbursement to reward high-quality and efficient care to identifying and engaging specialists in a medical home neighborhood.
This HIN special report provides details on the following:
Driving Value-Based Reimbursement with Integrated Care Models goes on to respond to more than 20 questions on these new horizons in care coordination, from details on the Primary Care-Specialist care compact in WellPoint's medical home neighborhood to clarifying the difference between an accountable care organization and a medical neighborhood.
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