The use of value-based reimbursement models is increasing by payers of all sizes. While fee for service may still be the base for funding core services, new funding models have been refined to incentive performance and outcomes. Key frequent performance measures tied to value include access to care, clinical outcomes, participant experience and reduction of unnecessary costs. But considering the challenges of retaining skilled staff to drive performance, some payers are considering additional factors such as staff retention and DEIA. The key to success is aligning consumer needs, payer responsibilities and provider sustainability. This session will focus on:
- Identification of performance domains and goals for value-based payment
- Negotiating payment incentives that align with consumer needs, payer requirements and provider sustainability
- The role of data systems to drive value-based outcomes