Managed Care & Value-Based Reimbursement

The impending shift to value-based reimbursement (VBR) and managed care in the health and human services industry has become a driving force across both public and private sector organizations, not only forcing new operating models and systems, but pushing providers to develop new partnerships with payers and to prepare for population health management. This shift presents organizational, technical, and cultural challenges that require a robust technology infrastructure, data-driven decisionmaking, and new leadership competencies. As behavioral health provider organizations move towards risk-based contracts, those who adapt to this change will have a better opportunity to carry forward in the provision of value-based services.

Editor's Picks

On October 11, 2021, PopHealthCare, a subsidiary of GuideWell Mutual Holding Corporation, launched Emcara Health, a value-based nationwide medical group. Emcara Health will provide a suite of care solutions to insurers and managed care organizations. Its core solution is 24/7 Home-Based Advanced Primary Care (HBAPC) for vulnerable adults. In addition to advanced primary care, Emcara Health also provides advanced supportive care, complex care management and treatment, and short-term care solutions, such as in-home assessments, assessments for social determinants of health, transition of care, emergency room diversion, and in-home palliative care. Emcara Health aims to . . .
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