Making Integration Work

“Integrated care” models remain top of mind for executives of specialty and primary care organizations. There are some key questions that are part of every discussion: How can they make integrated care work for consumers? How can they develop a sustainable reimbursement model for integrated care? And how can they develop partnerships with payers that allow provider organizations to participate in the “value” they create.

From the payer perspective, there are models that fund integration at the plan level, like PACE programs and Medicare SNPs (see Can Integrated Care Models Deliver Better Outcomes For Dually Eligible Beneficiaries?). The health plans . . .