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As the healthcare industry gravitates toward value-based care, population-based payment models have become the golden fleece for payers, the ultimate state of value-based care payment. Unfortunately for health insurers, the healthcare industry has lagged in population-based payment uptake.
Population-based payment models are models that are detached from fee-for-service reimbursement altogether, as opposed to other alternative payment models that continue to build off of fee-for-service structures. States that are serious about pursuing value-based care have established widespread adoption of population-based payment models as one of their goals.
As payers continue to urge their provider partners into population-based payment models, it will be critical for them to assess the best type of population-based payment model for their provider partners and recognize the opportunities to improve uptake.