About this paper
Health insurers and health care organizations are actively responding to new value-based reimbursement models. And in doing so, they're finding out that they're in need of some type of episode analytics to help identify care variations, including potentially avoidable complications that drive up the cost of an episode of care. Current episode analytics are based on claims data, which is useful for assessing financial risk and detecting large-scale variations but not for root cause analysis. In this complimentary paper you'll read the latest research on new payment models. And you'll explore real-world payer and provider experiences in using episode analytics for payment bundling, a comparison and background on the leading types of episode analytics and recommendations on how to use episode analytics to reduce variations and manage contracts that involve financial risk.
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