Risk Assessment Of Emerging Payment Arrangements: Financial Solvency Standards Board (FSSB) Meeting

In November 2013, the California Department of Managed Healthcare, Financial Solvency Standards Board (FSSB) published a report assessing the level of risk for healthcare providers associated with both traditional and emerging reimbursement methodologies. As providers move from fee for service to capitation, each of these different methodologies has the potential to shift risk from the payer to the provider. This document assesses the level of risk of each of these methods for the healthcare provider. Methodologies assessed include: Base Payment Methods (non-performance based, including per diems, case rates, bundled payments, etc.); Non-Provider Organization entities (fee driven or risk . . .