Neil Pressman, President, Presscott Associates, LTD., Avon, CT; Ho-Ho-Kus, NJ, discusses how his healthcare management consulting firm works to effectively manage reimbursement relationships between payers and providers.
Shared savings programs will give providers the upside while saving downstream costs for the payer. "In order to create the solution we need to implement in this country in terms of the escalating costs of health care and fragmented care we're experiencing in this country payers and providers need to come to the table to address these issues," said Pressman.
Health Outcomes of Dually Eligible Beneficiaries Under Different Medicare Payment Arrangements
December 1st 2025Within the same physician groups, 2-sided risk in Medicare Advantage (MA) was associated with higher quality and lower utilization for dually eligible beneficiaries compared with fee-for-service MA and traditional Medicare.
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