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Under Two-Sided Risk Models, Quality Of Care Increases Compared To FFS Medicare

  • Dec 20, 2022
  • Meaghan Puglisi
  • 2-min Read

In Home Health Care News, reporter Andrew Donlan reports that data examinations are beginning to shed greater insight on just how much better value-based payment models are for quality of care.

When comparing two-sided risk models in Medicare Advantage (MA) versus fee-for-service Medicare programs, the former performed better in all eight quality-of-care metrics. That is at least according to a new study published this month in JAMA.

He points to Lifespark as another example of a provider full-speed into global risk. Lifespark CEO Joel Theisen said, “we secured a full upside downside global risk contract,” Lifespark CEO Joel Theisen told HHCN earlier this year. “That really allowed us to deliver on this model and not be penny wise and pound foolish, but really smart longitudinally for these folks. I think it’s the only model, in my mind. I think everybody should be at risk, because I think everybody should be accountable to the health of these individuals that we serve. Not to their own bottom lines, not to their own business case or their piece or their fragment of the experience, but really global risks.”

Read on for the full story which includes some interesting data on why value-based performs better than fee-for-service…

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