Roji Health Intelligence CEO Theresa Hush, a healthcare strategist with 25-plus years of industry experience, told Becker's ASC Review what to expect for the future of risk-based agreements.
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Three quotes from Ms. Hush:
1. "We should expect the direction in value-based healthcare for specialty care — especially surgery — to favor payments based on episodes of care."
2. "Health plans and Medicare/Medicaid will be looking for fixed-fee arrangements that cap costs, and Medicare already has programs underway."
3. "ASCs should transform themselves from cost centers into conveners of bundled payment procedures, starting with Medicare but moving quickly into commercial plans. By partnering with surgical groups, they are in a more flexible position than many hospitals to coordinate teams of physicians and provide attractive pricing."