Moving From Vendor To Partner: Nine Bases To Cover To Hit A Home Run With Health Plans

Health plans are an increasingly important source of reimbursement for health and human service provider organizations, given that over 62% of the insured population is enrolled in some type of managed care plans. And, those reimbursements are increasingly in the form of some type of alternative payment models (APMs)—shared savings, shared risk, bundled payments, and population-based payments. APMs increased from 23% in 2015 to 34% of all health care payments for 80% of the U.S. population covered by health insurance in 2017. APMs were the reimbursement methodology for 28.3% for commercial insurance payments, 49.5% for . . .