RED SIGNAL REPORT
August 2020 Vol. 3 No. 1
VALUE-BASED CARE SERIES No. 1
MEDICAL LIABILTY INSURANCE • BUSINESS ANALYTICS • RISK MANAGEMENT • EDUCATION
Many have been accused of prescribing practices that fuel addiction.
The Good News?
Currently, less than 20% of Medicare spending is value-based.
Claims Data Signals & Solutions to Reduce Risks and Improve Patient Safety.
will face changes in their
every healthcare provider organization in the country
Over the next five years,
IN this report
to a VALUE-based reimbursement model
the Centers for Medicare & Medicaid Services (CMS)
To get healthcare costs under control
from a VOLUME-based model
By 2025, CMS wants close to 100% tied to value-based contracts.
of healthcare risk will be shifting
from the government
to hospitals, health systems, and physicians
Many providers are uncertain about their downside exposure or if they can afford it.
Some are unsure if they can survive in value-based contracts.
can significantly increase their revenue through performance-related bonus payments.
While these programs come with real financial risk, participating providers who meet program quality measures
for organizations seeking protection against catastrophic losses.
Since the total risk of value-based programs can be substantial,
Coverys and Archway Health are developing innovative value-based risk insurance products
Coverys is a leading provider of medical professional liability insurance to help protect healthcare professionals. We are committed to providing data-driven insights to reduce claims and proactive risk management and education services to increase quality patient outcomes. Our services are designed to help clients reduce distractions to improve clinical, operational, and financial outcomes.
To learn how you can successfully transition from a fee-for-service model to a value-based reimbursement model, download the full report.
Insurance products provided by Medical Professional Mutual Insurance Company and its subsidiaries.
800.225.6168 | coverys.com