Overview
During this webinar, our speakers discussed value-based reimbursement strategies for digital health and innovative care delivery companies, including key regulatory, structuring, and contracting considerations.
Top takeaways included:
- When forming a payment strategy, organizations should first consider what type of services they’re providing, who their customers are, and what type of payment structures will work best for their business. These initial strategy questions are the first step in determining how organizations can get paid for their innovative new technology or care delivery businesses.
- Key aspects to consider when negotiating value-based arrangements include member attribution, financial terms, the regulatory landscape, and physician incentive alignment. It’s also important to keep in mind that value-based care is a continuum, so contractual priorities and considerations associated with value-based models also exist on a continuum depending upon what type of arrangement an organization is participating in.
- Innovative healthcare providers must understand and comply with important regulatory requirements related to data rights and privacy, fraud and abuse laws, and practice considerations such as licensing, supervision, and payment policies. It is important for organizations that build systems to support healthcare providers to be aware of these requirements to the extent they may inform data rights, operational workflow, and contracting.
