Payer-Provider Partnerships: Lesson Seven

Monitoring and Modifications

Kathleen Kerr, Consultant, Kerr Healthcare Analytics
Kate Meyers, Senior Program Officer, High-Value Care


Achieving and sustaining balance across three critical areas — provider effort/cost of care delivery, payment amount, and desired outcomes — requires ongoing attention to program functioning and a willingness to revisit multiple aspects of program design and operations.

  • Successful contracts have balance across effort, payment, and outcomes
  • Set yourself up to recognize and address imbalances
  • Expect changes when transitioning from pilot to sustained program
  • Not every pilot will be sustained

This lesson is part of a series on successful payer-provider partnerships in community-based palliative care. Learn more here.