CON305: Five Must-Know Steps to Success in Advanced Professional Fee Payment Models

Eligible for: ACMPE: 1|ACHE: 1|CEU: 1|CME(AAPC*): 1|CPE: 1.2|PDC: 1|PDU: 1
*MGMA is now offering our full conference for AAPC credit via our partnership with ACCME. Please see the event Continuing Education page for more information.
Traditional | Basic | Comprehension

*Session will be included in the MGMA Summit.

As healthcare continues to evolve, risk transfer and/or risk-sharing payment arrangements for professional services can be a great opportunity for physician-led organizations, and there are general best practices for those considering moving into professional risk or increasing their existing risk-based contract portfolio. The session will cover five actionable steps: assessing the organization honestly, developing a culture of collaboration, strengthening population health management, embracing core capabilities, and establishing goal-oriented partnerships. The speakers have identified these steps based on work across a wide range of medical groups and other physician organizations to build the workforce skills, experience, and technical capabilities to accept and administer advanced payment models. The session will provide examples of organizations assuming some level of professional risk, and highlight how their journey followed these steps. The speakers will also share their experience with organizations in transition, assuming progressive levels of risk, and balancing multiple payment mechanisms ranging from fee-for-service (FFS) to prospective capitated payments.