Difference between revisions of "Value-Based Care Contracts"
From PatientRecovery
(Created page with "* Patient Population Demographics * Fee Schedule vs Medicare – CPT/HCPCS Variants (i.e., AVW included?) * Patient Population Benefits – co-payments, formularies, networks,...") |
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| + | Contract Terms <br> | ||
* Patient Population Demographics | * Patient Population Demographics | ||
* Fee Schedule vs Medicare – CPT/HCPCS Variants (i.e., AVW included?) | * Fee Schedule vs Medicare – CPT/HCPCS Variants (i.e., AVW included?) | ||
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* Performance Based Incentives | * Performance Based Incentives | ||
* Performance Based Payment Calculations | * Performance Based Payment Calculations | ||
| + | Joint Operating Agreement - Joint Venture <br> | ||
Back to [[Growth & Value Strategies]] | Back to [[Growth & Value Strategies]] | ||
Revision as of 11:41, 20 February 2019
Contract Terms
- Patient Population Demographics
- Fee Schedule vs Medicare – CPT/HCPCS Variants (i.e., AVW included?)
- Patient Population Benefits – co-payments, formularies, networks, etc.
- Patient Attribution
- Patient Notification & Authorizations
- Patient Documentation
- Quality Measures/Star Rating, Care Gaps
- Data Sharing – detailed claims, member lists, etc.
- Benchmarks/Budgets
- Shared Savings/Loss Calculations
- Performance Based Incentives
- Performance Based Payment Calculations
Joint Operating Agreement - Joint Venture
Back to Growth & Value Strategies
