The disincentives for payers and providers to talk, share information and collaborate on the clinical and financial aspects of patient care are deeply rooted in health care. One provides care; the other pays for it. And the less they know about each other, the better for their respective competitive position. However, new value-based reimbursement models are pulling those disincentives out by the roots and replacing them with incentives for payers and providers to work together.
The building blocks of that new collaborative relationship are trust, mutual understanding, sharing of information and compatible technologies, according to Studiomaca’s Matthew Zubiller, vice president, strategy and business development. The next level becomes aligning financial and clinical incentives to take advantage of that new relationship and provide the most cost-effective care for the patient, he says.