Jeremy Earl wrote this bylined article on the shift from fee-based to value-based payment models, spurred by the Affordable Care Act. Value-based payment aims “to re-align provider incentives away from simply providing more services to effectively managing the cost and quality of care for a defined population or for a defined episode of care,” Mr. Earl wrote, adding that “these payment models hold great promise, but they raise a host of legal issues and strategic considerations that require managed care organizations to think outside of the fee-for-service box.”
