Episode 111: The Intersection of Provider Compensation and Value-Based Reimbursement

Justin Chamblee joins Mark Reiboldt to discuss value-based reimbursement and provider compensation. He recently presented this topic at the MGMA conference with the goal of answering questions that naturally arise when considering the intersection of value-based reimbursement and provider compensation.

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Episode Synopsis

‍Government programs initially led value-based reimbursement (VBR) initiatives, but commercial payers are making the shift. CMS proposes to expand access to ACOs, modernize coverage for behavioral health services, colon screening, and dental services. There are also new and exciting value-based care programs being announced outside of CMS. Justin and Mark look ahead at the value-based care initiatives on the horizon, and how these programs should intersect with provider compensation.

Learning Objectives

• Further understanding of how value-based reimbursement is manifesting itself in the market
• Answer questions that naturally arise when considering the intersection of value-based reimbursement and provider compensation
• Equip attendees with practical steps to further align their provider compensation strategies with current reimbursement environment

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Extras

• Major Changes to Split/Shared Billing Affect Advanced Practice Providers and Physicians
• The Intersection of Compliance and Fair Market Value: Are You Sure Your Arrangements Coincide?
• Case Study: Provider Compensation Misalignment

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Podcast Information

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