The US healthcare reimbursement system has been slowly evolving from fee-for-service to value-based. Just as the transition was accelerating, COVID-19 drastically changed healthcare in America.

As we struggle to understand what the short and long-term impact of COVID will be on the health system, participants in value-based care (VBC) programs have voiced concern about being financially responsible for increased, and unpredictable, COVID-related expenditures.

Many VBC participants are asking the government to "pause" downside risk. Will CMS and private payers take a surgical approach to solving the COVID risk puzzle, or will value-based care suffer a major if not irreparable setback?

value-based-care-lp-watch

Takeaways:

  • Listeners should leave with a better understanding of VBC models and how to succeed within them.
  • They should also learn about downside risk and what the future of risk-taking in healthcare might hold.

Presenter

Nelson-Gomes

Nelson Gomes

NJ President Senior Vice President of Development, Medicus IT

Nelson Gomes is an information technology veteran with more than 29 years of IT experience. He is the founder of PriorityOne Group. Named to the Inc. Top 5000 Fastest-Growing Private Companies for four consecutive years, PriorityOne Group is a leading provider of integrated managed IT services to organizations including ASCs, medical groups and hospitals. The PriorityOne Group team of talented and committed professionals help healthcare providers deliver high-quality care while maintaining IT security and compliance. The key to Nelson's and PriorityOne Group's success is the unique ability to leverage technology to allow provider to deliver better and smarter healthcare, driven by a single mission of enabling healthcare organizations to make the most of their technology.

Brian Kern

Brian S. Kern

Partner, Acadia Professional

Brian S. Kern, Esq., partner at Acadia, is a well-recognized medical professional liability insurance executive, with nearly 20 years of experience. Mr. Kern is an expert in many facets of professional liability risk, including risk purchasing and retention groups, captives, and loss portfolio transfers. He has helped several large physician practices implement risk management programs that incorporate patient satisfaction and other metrics aimed at both decreasing risk and increasing reimbursement.