The Transparency Factor

The opportunities for specialty provider organizations to participate in value-based contracts with any shared risk have been limited. A new paper, Has Value-Based Reimbursement Arrived For Behavioral Health? A Payer Perspective, outlines some of the challenges and opportunities that executives in the field know only too well.

Most value-based contracts for those organizations are either fee-for-service (FFS) arrangements with bonuses for selected performance metrics or case rate arrangements for acute levels of care. This has largely been due to the challenge for health plan executives who have struggled to find a model for shared risk . . .