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    Transitioning to Alternative Payment Models: A Guide to Next-Generation Managed Care Contracting


    ISBN: 9781568294902

    SKU: 8917

    Non-Member Price$79.20

    Member Price$57.60


    SKU: PK8917

    Non-Member Price$109.00

    Member Price$82.00


    SKU: E8917

    Non-Member Price$63.20

    Member Price$46.40


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    April 1-30 only: receive 15% off of this title!

    This book’s goal is to offer medical practice leadership teams practical guidance on navigating the shift from volume-based to value-based managed care contractual relationships. Medical practices – both independent and affiliated – that understand how their organization can and should position themselves for the future will have a significant advantage over the competition.

    Honestly identifying where you are and defining where you want to be begins with developing a clear understanding of national and local market dynamics, identifying potential arrangements within your local market and applying those factors to your organization’s goals. This exercise can ultimately inform your value proposition, which becomes the cornerstone of your managed care contracting strategy.

    The book will cover in detail the most common alternative payment models and what your practice should do to prepare for this transition.

    Models detailed include:

    • Pay for performance
    • Bundled payments
    • Shared savings
    • Capitation

    Table of Contents
    Chapter 1   Introduction
    Chapter 2   Triple Aim
    Chapter 3   Narrow Networks
    Chapter 4   Patient Liability
    Chapter 5   Transparency
    Chapter 6   Quality Metrics
    Chapter 7   Connecting the Dots
    Chapter 8   Fee-for-Service
    Chapter 9   Pay for Performance
    Chapter 10 Bundled Payments
    Chapter 11 Shared Savings
    Chapter 12 Capitation
    Chapter 13 Setting up to Succeed
    Chapter 14 Conclusion
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