When it comes to making the shift to value-based reimbursement, plans must consider their smaller providers’ ability to take on risk. Empower your provider network with GHG’s 15-point checklist to evaluate their practice and overall risk-bearing capabilities.
It’s network development season, and CMS’ recent changes to network adequacy requirements merit taking a closer look at where new MA plans can take root, and where existing plans can further expand their service areas.
CMS’ recent network adequacy updates will open doors for plans to provide services in counties that would have otherwise proven difficult to meet network adequacy requirements.
Amidst uncertainty, risk-bearing providers and ACOs must be nimble and adaptable to mitigate losses. What strategies can be deployed to support value-based financial and clinical goals?