Payer Perspective on Collaboration with Providers and the Future of Value-Based Care
Value -based contracting models are a foundation on which provider-payer collaboration can be built. The ongoing alignment that emerges from these new models creates a path to more value and improved outcomes within society’s existing investment in healthcare.
Brian Wheeler, Vice President of Provider Collaboration and Network Transformation for CareFirst BlueCross BlueShield (CareFirst), delivered a keynote address for Modern Healthcare’s Payer-Provider Collaboration Virtual Briefing. In this keynote address, Brian discussed the current performance of healthcare in the United States and the opportunity value-based care holds for the future. He also shared CareFirst’s approach to collaborating with healthcare provider organizations to identify new ways to deliver care, improve quality for patients and slow the rate of rise in healthcare costs.
Topics covered in this keynote address include:
- The Medical Loss Ratio (MLR)
- High Deductible Health Plans
- Healthcare Economy
- United States Health System Performance
- The CMS Innovation Center (CMMI) and Triple Aim Requirements
- CareFirst’s Patient Centered Medical Home Program
- Accountable Care Organizations and Episode of Care Programs
- Value-Based Care and Provider Collaboration
The future of value-based care depends on the combined efforts of all healthcare stakeholders as we navigate an industry ripe for disruption. Viewers will gain insights into where healthcare payment models are now, where they need to go and the required engagement—of both payers and providers—needed to get there.
