[Whitepaper] Crossing the Payer/Provider Chasm — Getting to Shared Risk, Shared Data

A recent article in New England Journal of Medicine (NEJM) Catalyst showed that the “alignment” between providers and payers does not seem to be closing, despite the industry shift to value-based payment. The survey, conducted among executives, clinical leaders, and clinicians, finds that three-quarters (77%) of respondents do not consider payers and providers aligned toward realizing improved value in care delivery.

Herein lies the problem: if payers and providers are not aligned on the shift to shared risk and financial accountability, they also won’t be lined up to work together on quality, cost, and operational efficiency — that is, better care at a lower cost.

This whitepaper references studies from the New England Journal of Medicine, and answers two fundamental questions:

  • What are the key areas where payers and providers should be able to collaborate?
  • What is the path forward to cross this chasm?

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