Product type:

AllBooksEventsOnline CoursesWebinarsPackages
Medical Group Management Association

Pulling in the same direction: Collaboration is key for achieving value-based payment success

Insight Article - May 30, 2019

Value-Based Operations

Practice Efficiency

During the last decade, value-based care models have gradually become more prevalent. A recent federal report found that healthcare payments associated with alternative payment models (APMs) reached 34% in 2017, an 11% increase from 2015.1 But embracing the shift from fee-for-service to value-based payment comes with many challenges, particularly when attempting to establish uniform operational processes to streamline implementation.

In 2005, the Council for Affordable Quality Healthcare (CAQH), a non-profit alliance of health plans and trade associations, established the Committee on Operating Rules for Information Exchange (CORE) to adopt and institute operating rules for administrative transactions in the U.S. healthcare industry. One of CAQH CORE’s primary functions was to standardize HIPAA electronic transactions. In 2012, this led to the HHS designating the organization as the authoring body for mandatory operating rules under the Affordable Care Act (ACA).

Sign in to access this material

Member Login Become a Member
Bottom House Ad

About the Author

Christian Green
Christian Green MA
MGMA Writer/Editor MGMA


Shopping Cart

Your cart is empty

Click here if your organization is tax exempt

A State Sales tax exempt certificate must be on file and taxable items cannot be ordered online. For immediate assistance during normal business hours of 7:00am to 5:00pm MT M-Th and 7:00 am to Noon MT on Friday, please call toll-free: 877-275-6462, ext. 1888



Use two letter code for US states
Use three letter code for country
Use two letter code for US states
Use three letter code for country

Grand Total:
Use two letter code for US states
Use three letter code for country
Saved credit card is required for opt-in to autorenew.

Questions? Contact the MGMA Service Center for assistance during checkout or review our return policy for more information.




Thank you for your purchase! If you purchased an event, you will be receiving a follow-up email from our Learning Management System regarding the product/event purchased and no further action is required.