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Addressing the Complexities of Value-Based Payment Models
As value-based models continue to change the payment landscape in healthcare, the models require more sophisticated data, analytics, and payment structures, which can lead to more administrative burden, as well as siloed data.
As value-based models continue to change the payment landscape in healthcare, the models require more sophisticated data, analytics, and payment structures, which can lead to more administrative burden, as well as siloed data.
To explore these complexities, we sat down with Emad Rizk, MD, chairman of the board, president and chief executive officer of Cotiviti, to discuss the implications of quality and outcomes becoming a payment method, how to navigate obstacles such as siloed data, and what tools payers can use to mitigate the analytics burden.
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Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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