A Risk Contracting Primer for Transitioning to Value
(Room Ballroom C)
10 Oct 17
3:30 PM
-
4:30 PM
Tracks:
Financial Management
In this session, we will tear down and rebuild the elements of risk contracting and trace them back to their foundations in the early days of healthcare reform. Our discussion will cover the chassis from eligibility and attribution to distributions, and we'll tighten up revenue, risk adjustment, quality-based incentives, claims completion factors and regular adjustments. Our detailing will not miss Part D nuances, and no bumper-to-bumper is complete without a discussion of collateral like premium withholds, reserves, letters of credit and deficit demand letters. We'll also trim out your expectations for transparency, data frequency and completeness. As we work, our mechanics will relay anecdotes from personal experience to grease the discussion. You'll drive out with a map that will help you navigate contracting for risk with an understanding of the turns any upside-only, shared savings or fully accountable risk deal can take. We offer this pit stop as a basis for understanding the primary elements of risk contracting so that wherever the value-based contracting road takes you, you'll be prepared to spot the most important negotiating points. In our journeys, we've seen pile-ups and photo finishes, and we want you to know how to reach the victory lane.