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Payer-Provider Integration

Health insurance companies and a healthcare provider may greatly benefit from systems integration. Healthcare payer and provider organizations have different goals but need to work together to generate efficiencies. How can we bridge the gap between the two parties?

Murali01_pullquote Home Recovery Care patient satisfaction

Care Redesign

No Place Like Home: Bringing Inpatient Care to the Patient

Providing home-based acute care improves patient satisfaction and care quality while reducing costs.

Payer-Provider Partnerships Produce Better Quality Outcomes 3 - community health plan - physician partnership

New Marketplace

New Research Shows How Payer-Provider Partnerships Can Accelerate Adoption of Evidence-Based Care

Five best practices that are replicable and scalable are facilitating improved clinical and financial outcomes today.

Elements of a Sustainable Complex Care Management Contract

New Marketplace

Sustainable Financing for Complex Care Management Is Critical to a Value-Driven Health Care System

Care management should be payer-agnostic at its core.

Integrated Care Lessons from Across the Pond - Nick Seddon talk still

New Marketplace

Integrated Care Lessons from Across the Pond

Just throwing things together doesn’t make for integrated care. If we spent more time looking at what is good about each other’s health care systems rather than what we hate, that would help move forward a seamless care experience for patients.

Vertical Integration and Bold Experimentation - Peter Orszag Talk Still

New Marketplace

Vertical Integration and Bold Experimentation

Four points on improving value in health care via vertical integration and aggressive experimentation.

Khaldun02_panel.clip still Health Care Partnerships Rise All Ships

Leadership

Health Care Partnerships Rise All Ships

Examples of a public health and health system partnership, payer and provider partnership, and multi-hospital partnership that led to improved health care outcomes.

Washington State Health Care Authority Center of Excellence joint replacement elements and outcomes of program produces strong patient experience scores

New Marketplace

Improving Care by Redesigning Payment

A state-run center of excellence uses benefit design to improve outcomes while controlling cost.

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Disrupting the Health Care Landscape: New Roles for Familiar Players

NewYork-Presbyterian

Pottharst01_pullquote - value-based health care leadership personas

Leadership

Personas of Leadership in Value-Based Care

The deliberate nurturing of specific types of leadership personas seems to be a critical factor in the success of value-based care organizations.

Shrank02_pullquote IDFS

New Marketplace

Effective Consolidation: A Model for Reform Through Payer-Provider Integration

UPMC’s payer-provider partnership integrates real-time data to support improved clinical decision-making and optimizes clinical and financial performance.

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