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  • January 31, 2023

    Alzheimer Care Coordination Payments

    Alzheimer’s care coordination payments are financial incentives or compensation provided to healthcare providers or organizations to coordinate the care and support for individuals with Alzheimer’s disease or related dementias. The aim is to improve the quality of care, reduce medical costs and improve patient outcomes by having providers work together and share information. These payments…

    Alzheimer's, Alzheimer's care coordination payments, Care coordination, Reimbursement

  • December 12, 2022

    Environmental Scan on Care Coordination in the Context of Alternative Payment Models (APMs) and Physician-Focused Payment Models (PFPMs)

    This environmental scan was prepared at the request of the Office of the Assistant Secretary for Planning and Evaluation (ASPE) as background information to assist the Physician-Focused Payment Model Technical Advisory Committee (PTAC) in preparing for a theme-based discussion on the role care coordination can play in optimizing health care delivery and value-based transformation. The…

    apm, Care coordination, Physician-Focused Payment Models, Reimbursement

  • September 20, 2022

    How Are Physicians Paid?

    Payors use a variety of reimbursement methodologies and reimbursement structures. Several reimbursement methodologies might be combined in a single arrangement with a payor, often as a means of transitioning to “value-based” payment. Reimbursement methodologies may include the following:

    Bundled payments, Care coordination, Contracting, Direct to Employer, Fee-for-service reimbursement, Reimbursement, Shared risk, Shared savings

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