Risk-based payment models are progressing slowly but steadily for Medicare and Medicaid. The same can’t be said for commercial contracts, where it’s harder to find alignment between plans, providers, and employers on compressed timelines. But commercial risk is ultimately what will tip the industry toward value-based care or keep us stuck in a world of hybrid incentives.
Advisory Board has been researching whether commercial risk is possible. (Spoiler alert: We believe it is.) To understand the path forward, we’ve collaborated with experts from around the industry and analyzed a national database of commercial claims. Explore our work below and learn how you can help push the industry toward a new cost and quality standard.
The public sector is progressing slowly but steadily towards risk, but the future of commercial risk remains unclear. What happens in the commercial space will determine whether the industry remains in a hybrid state or realigns around a new cost and quality standard.
Productive plan-provider partnerships and a data-driven approach to tackling risk opportunities will be foundational to progress. Explore our research below to find out what defines successful partnerships and where we’ve discovered addressable opportunity through commercial claims analysis.
Expert Insight
Most commercial risk partnerships need 3-5 years before they produce results. Learn about why partnerships take time to mature, and what you should do to stay on track.
Blog Post
Value-based care partners need to conquer ingrained beliefs and embrace change to succeed. Our organizational transformation experts have tips for overcoming common challenges.
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