Practice Economics

VIDEO: How to navigate value-based care payer contracts


 

EXPERT ANALYSIS FROM THE PHYSICIANS AND HOSPITALS LAW INSTITUTE

AUSTIN, TEX. – The shift from volume- to value-based care has become a regular hot topic among the medical community. But one rarely discussed question is how quality-based care will impact physician contracts with health plans, according to Bloomfield Hills, Mich., health law attorney Mark S. Kopson.

In a video interview at an American Health Lawyers Association meeting, Mr. Kopson discusses how to navigate payer contracts when operating within value-based care models. He addresses ideal terms to include in quality-based care contracts and how to mitigate legal risks with health plans.

“The contract language that works in volume-based contracts doesn’t work in value-based contracts,” Mr. Kopson explains. “We have to make a distinction between the two and recognize that there are risks and issues that have to be addressed in value-based arrangements.”

The video associated with this article is no longer available on this site. Please view all of our videos on the MDedge YouTube channel.

agallegos@frontlinemedcom.com

On Twitter @legal_med

Recommended Reading

A trip through the history of gynecologic oncology
MDedge ObGyn
The medicolegal considerations of interacting with your patients online
MDedge ObGyn
Medicare reaches first quality-based goal early
MDedge ObGyn
VIDEO: What are physicians’ top legal risks in 2016?
MDedge ObGyn
Health spending less concentrated among highest-cost population
MDedge ObGyn
Justices appear split over Texas abortion regulations
MDedge ObGyn
Medicaid expansion approved to address Flint water crisis
MDedge ObGyn
EHR Report: How Zika virus reveals the fault in our EHRs
MDedge ObGyn
Better billing privacy protections needed for youth
MDedge ObGyn
VIDEO: How proposed patient substance use privacy rule impacts physicians
MDedge ObGyn