By Monica E. Oss Payers and health plans are pushing for reimbursement models that move away from fee-for-service and move to paying for "value." At our 2018 OPEN MINDS Performance Management Institute in February, our health plan faculty members reiterated that while primary care is further along than specialty care in this evolution, specialty care wouldn't be left behind for long—most of the faculty saw specialty care reimbursement moving to value-based models within a three to four year window (see "A Commercial Health Plan's Perspective": Magellan's Philosophy & Approach To Value Based Payment Arrangements and Overcoming The Impediments To Value-Based Reimbursement). Our recent health…
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