The ‘Payviders’ Are Coming—From Both Directions

In a new survey of health systems, 60+% of the chief financial officers (CFO) are planning to pursue risk-based contracts, in a wide variety of payer markets, in 2022 (see 2021 Risk-Based Healthcare Market Trends). What struck me about the survey findings, from the Healthcare Financial Management Association and Guidehouse Center for Health Insights, is that this is more than alternative payment models in Medicare—which 49% indicated they are pursuing next year. Their plans are to pursue advance risk-based contracts with Medicare Advantage plans (59%) and commercial health plans (52%). There are, however, obstacles to pursing . . .