Value-Based Reimbursement Operations: A Closed-Loop Ecosystem That Requires a Solid Back Office
This IDC Perspective details how hospitals and other providers are working hard to prepare for contract negotiations with payers using alternative payment models (APMs) using fee-for-value methodologies. Payers are now committed with various methodologies, interpreting Medicare goals, and are concerned with their internal pilot programs maturing. "What is underestimated is the closed-loop, multiyear, core procedural and systematic changes necessary in the middle and back offices to execute operationally under an environment where many payments will be value based," states Jeff Rivkin, research director for Payer IT Strategies at IDC Health Insights.
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