By Howard Shiffman, M.A.

We continue to report on more provider reimbursement arrangements that are shifting from volume-based reimbursement to some form of pay-for-performance contract – Magellan’s Shift To Gainsharing, Third Sector Selects Seven Awardees Considering Child-Focused Pay-For-Success Initiatives, and Missouri Child Welfare Services for High Needs Children Out To Bid On Case Rate Basis. While these individual changes in contracting may seem anecdotal, they represent a gradual sea change that is affecting every payer (40% Of Commercial Health Insurance Reimbursements Linked To Performance In 2014 and Medicare Physician Pay Cuts Averted & SGR Scrapped; Medicare To Phase In Value-Based Reimbursements). The problem is that the executives of…
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