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AI Optimizing Payer-Provider Relations: From Adversarial to Collaborative
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AI Optimizing Payer-Provider Relations: From Adversarial to Collaborative
Donald Rucker, MD, Chief Strategy Officer for 1upHealth Payer-provider relations are undergoing a major shift. The classic adversarial battles in the fee-for-service world are gradually giving way to capitated plans with more win-win incentives. The reality is that providers and payers famously have to live in the “two canoes” world, with one foot in volume-based revenue and the other foot in value-based revenue. As one can see, there is extra…
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