Payer & Financing Models

The health care market is undergoing a large shift when it comes to how payers finance and deliver services. Across all payers, there is an increase in value-based reimbursement and new financing and care management models, including accountable care organizations, medical homes and specialty medical homes, bundled and episodic rates, case rates, managed long-term services and supports, hospital value-based purchasing and more. This shift may require big changes from health care organizations in everything from billing and operations, to patient relationships and service delivery models.

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