Payer-Provider Partnerships: Lesson Seven
Monitoring and Modifications
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.