201408.25
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Health Care Risk Sharing, Integration & Accountable Care – Part 7

RISK SHARING, INTEGRATION AND ACCOUNTABLE CARE: MECHANISMS FOR PROVIDER RISK SHARING AND INTEGRATION Forms of Multi-provider Models Using Centralized Organizations: Standardized multi-provider models through which a central organization serves as agent for individual providers to facilitate collective negotiation can permit the individual provider the benefit of collective negotiation without the burden of establishing, or joining,…

201408.18
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Health Care Risk Sharing, Integration & Accountable Care – Part 6

RISK SHARING, INTEGRATION AND ACCOUNTABLE CARE:  MECHANISMS FOR PROVIDER RISK SHARING AND INTEGRATION Continuing with our posting regarding mechanisms for provider risk sharing and integration, there are several forms and contracting models that facilitate integration. Integrated Delivery Networks (“IDN”): An IDN is a single group, linked through contract or incorporated within one entity, which assumes…

201408.04
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Health Care Risk Sharing, Integration & Accountable Care – Part 4

RISK SHARING, INTEGRATION AND ACCOUNTABLE CARE:  MECHANISMS FOR PROVIDER RISK SHARING AND INTEGRATION The commonality through all risk-sharing is the placement of a provider’s fee at risk for underperformance and the sharing of financial rewards for meeting performance targets.  All traditional risk sharing arrangements maintain this element.  However, novel arrangements transcend simply placing the provider’s…