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Managing the Financials of Population Health

June 23, 2020
Delivering quality care at a reasonable price is a balancing act – made even more difficult as the healthcare industry moves from a fee-for-service model to value-based care.
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Delivering quality care at a reasonable price is a balancing act – made even more difficult as the healthcare industry moves from a fee-for-service model to value-based care. This transition introduces new financial hurdles into today’s healthcare system, as it changes how reimbursements are calculated. The fee-for-service model typically has a linear connection between the service provided or care administered and its corresponding cost. In the value-based care system, however, this dynamic changes since reimbursement is determined in part based on overall patient outcomes, not solely on the specific services rendered. Examined below are five of the top challenges institutions face when trying to manage the financial side of this paradigm shift – particularly in the context of population health – along with some solutions to consider.