11. Value-Based Care Payments and Arrangements Explained

Millions of Americans feel confused and frustrated in their search for quality healthcare coverage.

Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change.

Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare.

Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through the Healthcare Labyrinth website.

Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare.

Tune in every week as Marc examines the latest developments in the space, offering analysis, insights, and predictions on the changing state of healthcare in America.

On this episode of the Healthcare Labyrinth Podcast, Marc explains Value-Based Care (VBC) Payments and Arrangements in the healthcare system.

Marc indicates that Value-Based Care Payments are focused on lowering cost and driving quality outcomes for services and episodes. Value-based arrangements are broader although they focus on the same goals. 

Listen in to learn more and explore Value-Based Care Payments and Arrangements.

Key Takeaways  

Transactional payment systems focus on payment for each service rendered.  They drive up prices and utilization – a double whammy.

Value-Based Care Payments cover all services, including follow-up care, to focus on cost restraint and quality outcomes.

Value-Based Care Arrangements are broader and can be capitation or risk fund payments.

Risk Funds, also called Risk Sharing, can help providers and insurers split the risk tied to costs in healthcare. It offers an upside for providers, but also potentially a downside.

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