This article suggests guiding principles and proposed methodologies for risk adjusted episode-based payment.
Many health systems are considering launching health plans, assuming that because they can deliver efficient, outstanding care and superior customer service, they will succeed with a health plan. This assumption is not always correct.
By offering its own health plan, a hospital system may be able to gain a variety of advantages -- but the move is not without risks.
Popular topicsConsumer engagement, Cost of care, Healthcare value, Individual insurance, Information & technology, Marketing & sales, Medicaid, Medicare, Operations, Reform
Health systems (and health plans) that are serious about transforming themselves must harness the energy of their physicians. To do so, they must develop a true ability to engage physicians effectively.
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Healthcare Systems & Services
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