Rousmaniere: Insurers are Behind the Ball on Value-Based Care
Medicare and private health insurers are gradually converting fee for service reimbursement to some form of “value-based” reimbursement. Under this formula, the medical provider’s reimbursement is governed by some measurement of fixed fee and/or performance.
Bundled, or fixed price, is one example. Penetration of bundled pricing and value-based reimbursement in the workers’ comp industry is very limited. Here we describe how claims payers are passing up a big ...
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