Difference between revisions of "Value-Based Care Contracts"
From PatientRecovery
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Latest revision as of 13:22, 1 March 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
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