Health Plans Must Overcome Uncertainty, Get Ahead of Trends for 2018
Health plans will continue to face challenges such as an influx of people into Medicare and more pressure to participate in risk-based contracts. The uncertainty that complicated health plan strategies in 2017 will continue this year and could accelerate. “CMS is touting more voluntary provider participation in value-based initiatives, but insurers that manage Medicare and Medicaid plans still must prove quality. And they’re pushing that risk down to the providers in their networks” says Scott McFarland, HealthBI President, in an article published by HealthLeaders Media. With the growing trend to push more risk to providers to meet quality metrics, there will be a continued and increased requirement for payors to collaborate better with providers using shared data, technology and more provider support services. McFarland adds, “This isn’t just a prediction; it builds on an existing trend we’ve witnessed at HealthBI. I expect that payers enabling providers with actionable data will continue to gain steam, and in fact, be one of the top objectives for almost all payers in 2018.”
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