[{"innerBlocks":[],"name":"core\/freeform","postId":669,"blockType":{"name":"core\/freeform","keywords":[],"attributes":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"providesContext":[],"usesContext":[],"selectors":[],"supports":{"className":false,"customClassName":false,"reusable":false},"styles":[],"variations":[],"apiVersion":3,"title":"Classic","description":"Use the classic WordPress editor.","category":"text"},"originalContent":"Medicare Advantage plans appear to be at the forefront of pushing social determinants of health to aid in success under risk-based payment models, a new industry report contends.However, these risk-based plans \u201ccan\u2019t go it alone\u201d and succeed without input from others, says RAM Technologies, a developer of enterprise software for Medicare Advantage health plans. Providers are an essential link, not only between payers and patients, but between payers and community service organizations that help with SDOH, say the authors of RAM\u2019s new report, entitled \u201cMaking the Most of Payer-Provider Partnerships.\u201d

In the past, the relationship between payers and providers has sometimes been fraught with tension, and that may have been tolerable in a fee-for-service environment, but today\u2019s risk-based payment models require flexibility and collaboration, the report contends.\u201cParties that were once at cross purposes are realizing that the healthcare system cannot evolve, and patient outcomes will not improve, unless they work together,\u201d say the authors of RAM\u2019s new report. The report reviews success stories and highlights ways that payers and providers can work more closely together, align their interests and improve care."Partnerships are becoming more and more important as the Medicare Advantage program continues to evolve,\u201d says Christopher Minton, executive vice president of RAM Technologies. \u201cAs value-based reimbursement models move to the forefront and organizations are granted greater flexibility to address social determinants of health, it is becoming increasingly important for strategic collaboration between payers and providers, to manage spending and\u2014more importantly\u2014to drive better health outcomes.\u201d Physicians in today\u2019s risk-based market face the daunting and immediate task of learning how to use new health information technologies, data analysis and business management, while payers face growing competition and tighter margins, the report says. But the good news is, they can help each other.\u201cMany physicians are willing but struggling to adapt to the evolving healthcare landscape, and collaborative partnerships with payers may be the incentive they need,\u201d the report says. Meanwhile, \u201cpayers have access to vital claims and demographic data that they can share with providers and may have expertise in business and IT that providers lack.\u201dCollaborative arrangements between payers and providers don\u2019t have to be extensive. Payers can partner with specific hospitals on surgical bundles, centers of excellence on cancer care and individual providers on primary care, RAM suggests.\u201cRegardless of the form, all value-based models rely on communication, data sharing and advanced analytics,\u201d the report says. \u201cGoals and metrics should be established at the outset of any payer-provider partnership, and adequate incentives must be developed.\u201dMore information can be found in the RAM report, which can be accessed here<\/a>. ","saveContent":"Medicare Advantage plans appear to be at the forefront of pushing social determinants of health to aid in success under risk-based payment models, a new industry report contends.However, these risk-based plans \u201ccan\u2019t go it alone\u201d and succeed without input from others, says RAM Technologies, a developer of enterprise software for Medicare Advantage health plans. Providers are an essential link, not only between payers and patients, but between payers and community service organizations that help with SDOH, say the authors of RAM\u2019s new report, entitled \u201cMaking the Most of Payer-Provider Partnerships.\u201d

In the past, the relationship between payers and providers has sometimes been fraught with tension, and that may have been tolerable in a fee-for-service environment, but today\u2019s risk-based payment models require flexibility and collaboration, the report contends.\u201cParties that were once at cross purposes are realizing that the healthcare system cannot evolve, and patient outcomes will not improve, unless they work together,\u201d say the authors of RAM\u2019s new report. The report reviews success stories and highlights ways that payers and providers can work more closely together, align their interests and improve care."Partnerships are becoming more and more important as the Medicare Advantage program continues to evolve,\u201d says Christopher Minton, executive vice president of RAM Technologies. \u201cAs value-based reimbursement models move to the forefront and organizations are granted greater flexibility to address social determinants of health, it is becoming increasingly important for strategic collaboration between payers and providers, to manage spending and\u2014more importantly\u2014to drive better health outcomes.\u201d Physicians in today\u2019s risk-based market face the daunting and immediate task of learning how to use new health information technologies, data analysis and business management, while payers face growing competition and tighter margins, the report says. But the good news is, they can help each other.\u201cMany physicians are willing but struggling to adapt to the evolving healthcare landscape, and collaborative partnerships with payers may be the incentive they need,\u201d the report says. Meanwhile, \u201cpayers have access to vital claims and demographic data that they can share with providers and may have expertise in business and IT that providers lack.\u201dCollaborative arrangements between payers and providers don\u2019t have to be extensive. Payers can partner with specific hospitals on surgical bundles, centers of excellence on cancer care and individual providers on primary care, RAM suggests.\u201cRegardless of the form, all value-based models rely on communication, data sharing and advanced analytics,\u201d the report says. \u201cGoals and metrics should be established at the outset of any payer-provider partnership, and adequate incentives must be developed.\u201dMore information can be found in the RAM report, which can be accessed here<\/a>. ","order":0,"get_parent":{},"attributes":[],"attributesType":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"dynamicContent":""}]

Payers looking for other data sources to succeed with SDOH initiatives

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