Value-based Reimbursement

The Role of Provider-Sponsored Health Plans in Value-Based Care

November 1, 2021 - Payers can structure their health plans and their health plan networks in a variety of ways, but the provider-sponsored plan model has played a unique role in pursuing value-based care priorities. Providence Health Assurance’s Medicare Advantage provider-sponsored health plan received a five-star rating through the CMS Medicare Advantage Star...

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Small Providers Unlikely to Abandon Fee-for-Service Reimbursement

by Kelsey Waddill

Fee-for-service reimbursement is still an integral part of the healthcare system as providers are scattered along a spectrum of payment models, Emily Sokol, director of research at Xtelligent...

How Nurse Practitioners Can Transition into Value-Based Care

by Emily Sokol, MPH

Figuring out where to begin value-based conversations can be challenging for many providers in private practice, and nurse practitioners are no exception. The first meaningful step is education,...

Developing Care Quality Metrics to Benefit Providers, Patients

by Jessica Kent

With the healthcare system increasingly moving toward value-based care, care quality metrics are becoming an essential part of effective care delivery. However, some health systems may struggle to...

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