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How COVID-19 Impacts Risk-Based Contracting
Wednesday, March 3, 2021 | 1:00PM - 2:00PM Eastern

 
  • What the current Alternative Payment Model market looks like
  • The COVID-19 effect on provider payment dynamics
  • The overall impact of COVID-19 on payment arrangements and utilization in provider payment models
  • Considerations of implications for providers going forward

Faculty: Brent Jensen, FSA, MAAA, Consulting Actuary, Milliman; and Matthew Smith, FSA, MAAA, Consulting Actuary, Milliman
 
 

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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. Click here for more details.

 

Please join us on Wednesday, March 3, 2021, at 1 PM Eastern as Milliman’s Brent Jensen and Matthew Smith discuss the impact of COVID-19 on payment arrangements and utilization in alternative provider payment models, in the HealthcareWebSummit event: How COVID-19 Impacts Risk-Based Contracting. Click here for detailed information or to register or call 209.577.4888.
 
 

  

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