In 2018, 35.8 percent of U.S. healthcare payments, representing approximately 226.5 million Americans and 77 percent of the covered population, flowed through alternative payment models (APM) built on fee-for-service architecture or population-based payments, according to a new infographic by the Health Care Payment Learning & Action Network.
The infographic highlights the payer perspective on the future of APM adoption as well as the top three barriers and the top three facilitators of APMs.
A laser focus on population health interventions and processes can generate immediate revenue streams for fledgling accountable care organizations that support the hard work of creating a sustainable ACO business model. This population health priority has proven a lucrative strategy for Caravan Health, whose 23 ACO clients saved more than $26 million across approximately 250,000 covered lives in 2016 under the Medicare Shared Savings Program (MSSP).
Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success examines Caravan Health’s population health-focused approach for ACOs and its potential for positioning ACOs for success under MSSP and MACRA’s Merit-based Incentive Payment System (MIPS).
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Tags: alternative payment models, population-based payments, value-based healthcare
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