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Healthc Financ Manage. 2011 Apr;65(4):42-4, 46.

Payment reform: complexities to consider.

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1
Navigant Consulting, Inc., Chicago, USA. mnugent@navigantconsulting.com

Abstract

Providers and payers should take the following actions to prepare for imminent payment reforms from CMS and commercial payers: Adopt industry standard value-based pricing principles. Identify variations in costs, reimbursement rates, and payment terms within your managed care contracts and day-to-day operations. Establish core, evidence-based costs and payments to cover those core, evidence-based costs. Adopt new delivery tactics to manage a sustainable margin on lower unit reimbursement increases.

PMID:
21548427
[Indexed for MEDLINE]
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