The Commonwealth Fund study indicates that while the U.S. excels in certain aspects of healthcare, there is still much work to be done in terms of access, efficiency, and equity. Value-based payments are a potential solution to reducing healthcare costs and improving health outcomes for consumers.
Quality of Care
NC consumers who use Medicaid and have severe mental illness, substance use disorders or developmental disabilities might have to switch doctors soon if their providers don’t sign contracts with new managed care plans.
Federally qualified health centers (FQHCs) and rural providers participating in ACOs using the Signify Health platform will receive advanced incentive payments when they join the Medicare Shared Savings Program.
McKinsey & Company (McKinsey) recently released a report looking at the untapped potential of payer care management. McKinsey listed four actions for payers to take in order to achieve a broader vision for care management and improve ROI.