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With the advent of accountable care organizations (ACO), the shift to preventive, coordinated care is in favor of providers who maintain patient health and reduce the need for higher-cost, episodic care. ACOs create financial incentives for health care providers to coordinate and improve the quality of care for their patient population. Reimbursements are tied to…

Value-Based Contracting is a range of reimbursement methods from Fee-For-Service with incentives for value to full risk-based agreements. Medical Groups/Practices will want to engage all payers to take on risk and upside potential for the delivery of high-quality care with lower costs. This suggests a diverse approach to contracts that leverage quality results to reimbursement methods. Develop…