How COVID-19 Impacts Risk-Based Contracting

While providers have started to take on various types of risk through alternative payment models (APMs), there are important factors for provider organizations to consider before taking on risk for the total cost of care. The factors include the ability to manage the total cost of care, overall risk tolerance, and attributed member group size. Some challenges associated with these factors have led to providers not taking on additional risk.

An interesting effect of COVID-19 is that many of the providers who have taken on the most risk through APMs have been most protected from provider revenue declines during the pandemic due to deferred and canceled care during 2020. Providers should not enter risk-sharing arrangements in hopes of pandemic-like events to trigger savings, but there are certainly protections to be had with risk-sharing arrangements.

This session explores the current and future impact of COVID-19 on Alternative Payment Models for providers, examining the current state of APMs, the key effects of COVID-19 on the dynamics involved in provider payments, the impact of COVID-19 on the main types of APMs and the implications for providers considering current or potential risk-based contracting arrangements.

You won't want to miss this webinar!