April 12, 2022
Paying for Outcomes: Five Revolutionary Reimbursement Stories on 4sight Health
If outcomes matter, why aren’t we paying for them? It’s a question we at 4sight Health ask every day, and it’s a question that revolutionary healthcare leaders are trying to address with new care models, new reimbursement systems and other solutions. Below are five of the most-read or listened to payment stories on 4sighthealth.com from the first quarter of this year. We’re going to keep beating the drum on this issue until we start paying for the outcomes we want.
1: Don’t Hate Me Because I Love Prior Authorization
Doctors don’t like people checking their work any more than most kids like vegetables but like it or not, prior authorization is good for us. More.
2: It’s The Payment Models, Stupid! Part 2: Taking It to the States
David Johnson discusses strategies for expanding the use of Maryland-like payment model to other states. More.
3: It’s The Payment Models, Stupid! Part 1: Maryland Leads The Way
Zeke Emanuel, Merrill Goozner, Matt Guido and David Johnson co-authored two articles on Maryland’s unique payment model and its potential applicability to other states. Unlike other payment reform initiatives, Maryland’s approach is working at scale. More.
4: Podcast: Medicare Advantage Warning Signs
What’s right with Medicare Advantage? What’s wrong with Medicare Advantage? Where does Medicare Advantage go from here? Listen.
5: Is Value-Based Reimbursement Mostly Dead or Slightly Alive?
One of my favorite scenes in The Princess Bride is when Miracle Max tells Inigo and Fezzik that Westley is “mostly dead,” which means he’s “slightly alive.” There’s hope for a full recovery. We can say the same thing about value-based reimbursement. More.