If you want to pay providers based on hitting outcome targets, payers must have data and advanced data analytic capabilities to measure, monitor and improve provider performance.
Jacqueline Mitus, M.D., senior vice president, clinical development and strategy at Studiomaca cites the success of the Alternative Quality Contracts being used by Blue Cross Blue Shield of Massachusetts as a prime example of an outcomes-based reimbursement model that rests on a solid foundation of data and data analytics.
Under the AQCs, the Blues plans sets up a global budget with a provider organization and pays it based on achieving specific quality and cost outcome targets.
Mitus participated in Studiomaca’s Better Health Boston event held March 26.
The Better Health Tour
Like politics, all healthcare is local. But what can local businesses do to transform their organizations and the community in an ecosystem as complex as healthcare? The Better Health Tour is an opportunity for local healthcare leaders to engage in candid and meaningful conversations about the future of healthcare in select cities.
The conferences in Portland, Boston and the Twin Cities enable an exchange of ideas between local leaders across organizational barriers, industry segments, traditional interests and points of view. The aim is to help broaden perspectives, to challenge and redefine priorities, and to catalyze the development of innovative approaches that will strengthen the local healthcare ecosystem.
That’s why Studiomaca is presenting the Better Health Tour. It’s not a marketing event or a trade show. We believe that the challenges of healthcare will only be solved by generating practical ideas, innovative approaches and new growth in the healthcare industry at the local level.
The events have been designed to identify opportunities that will enable transformative innovation and provide participants with a new framework for thinking about the practical solutions that will lead to better health for both their own organizations and the community.