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HCC: The 3-letter word that can build payer-provider trust and improve quality


As the shift toward value-based care and risk-based contracting progresses, it will become even more important for health plans and those who deliver care to collaborate.

Yet health plans and providers often fail to take advantage of the ample opportunities to operationalize "win-win" programs that offer financial, operational, and quality gains for both organizations, which are also wins for their patients. Why? One major factor is that, historically, payers and providers have had a challenging relationship based on mistrust, misunderstanding, and perceived differences in goals.


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