Nuts and Bolts of Payer-Provider Contracts Webinar

The contents of a payer-provider contract determine reimbursement levels being paid by payers to providers. What are the primary variables included in these contracts that impact actuaries’ work, both volume-based and value-based? How does this vary for commercial insurance companies vs government programs? In this CCA healthcare series webinar, presenters discuss these questions and more.

• Understanding the basics of fee for service (FFS) to help set the stage for value based contracts (VBC)
• Types of quality metrics in VBC contracts, financial terms, and operational issues related to tracking, monitoring and accruing
• Evolution of shared savings from FFS to full risk
• Contractual components of VBC contracts from a provider's perspective

Session Category

Health & Welfare

Credits

CPD: 1.50

Speakers