We’ve talked about cost control before (here and here in particular). A new healthcare reform briefing paper continues the discussion, focusing on the topic of provider risk sharing.
In the past, provider risk sharing has attracted substantial attention as a means of controlling healthcare costs. But efforts to implement provider risk-sharing strategies have often not lived up to their promise.
With healthcare costs reaching unprecedented level—and with certain reform provisions encouraging providers to shoulder more risk—the concept is again attracting attention. Given the far more precise tools now available to both payors and providers—not to mention the possibility for better coordination among all stakeholders—the healthcare system may now be primed for a successful move toward provider risk-sharing strategies.
Read the paper.
October 1, 2013, sounds like a long way off—unless you are in health IT.
That’s the day that the U.S. Dept. of Health and Human Services (HHS) has set as the deadline for conversion to ICD-10 clinical codes.
Two new Milliman white papers help clarify the issue by looking at critical factors for conversion and by isolating the characteristics that will separate the winners from the losers as the American healthcare system makes this switch.
Anyone looking for even more depth can check back with us for future publications, or join our series of Webinars, which begin tomorrow.