New Rochelle, NY, May 7, 2024–A new study published in the peer-reviewed journal Population Health Management, which builds on previous work in the journal, describes the Academic Payvider model, a joint approach to care and coverage aimed at reforming the relationship between payers and providers to enhance value-based care. Click here to read the article now.
“There is an undeniable need for reformation of the relationship between health care payers and providers,” state Erika Harness, MHA, from the Sidney Kimmel Medical College at Thomas Jefferson University, and coauthors of the study. The Payvider model is one promising approach, with the partnership model of shared ownership considered to be the most effective. The current study examines “Academic Payviders,” a term that describes academic health systems that provide health plans to patients.
The investigators reported rapid growth of Academic Payvider systems within the last two decades. “The growth of Academic Payviders is stimulated by ongoing policy and market factors,” stated the investigators.
“Ultimately, this shift in payment models can aid patients and providers alike. The patient experiences benefit from improved coordination and integration, reduced insurance hassles, and increased staff attention to ensuring optimal outcomes. Simultaneously, providers experience reduced administrative burden and burnout.”
In an accompanying editorial, Josh Berlin, Chief Executive Officer of rule of three, LLC, writes, “Whether the Academic Payvider is the or an answer to an industry fraught with challenges remains to be seen. The underlying paper notes the sample size is still relatively small by comparison to the quantity of academic institutions serving healthcare overall. Nevertheless, these relationships bring inspiration for the art of what is possible to drive complex, higher cost care down through innovative payment and reimbursement structures more effectively and efficiently managed with the expertise of such unique collaborators.”
About the Journal
Population Health Management is an authoritative peer-reviewed journal published bimonthly in print and online that reflects the expanding scope of health care management and quality. The Journal delivers a comprehensive, integrated approach to the field of population health and provides information designed to improve the systems and policies that affect health care quality, access, and outcomes. Comprised of peer-reviewed original research papers, clinical research, and perspectives, the content encompasses a broad range of chronic diseases (such as cardiovascular disease, cancer, chronic pain, diabetes, depression, and obesity) in addition to focusing on various aspects of prevention and wellness. Tables of Contents and a sample issue may be viewed on the Population Health Management website. Population Health Management is the official journal of the Population Health Alliance.
About the Publisher
Mary Ann Liebert, Inc. is a global media company dedicated to creating, curating, and delivering impactful peer-reviewed research and authoritative content services to advance the fields of biotechnology and the life sciences, specialized clinical medicine, and public health and policy. For complete information, please visit the Mary Ann Liebert, Inc. website.
Credit: Mary Ann Liebert, Inc.
New Rochelle, NY, May 7, 2024–A new study published in the peer-reviewed journal Population Health Management, which builds on previous work in the journal, describes the Academic Payvider model, a joint approach to care and coverage aimed at reforming the relationship between payers and providers to enhance value-based care. Click here to read the article now.
“There is an undeniable need for reformation of the relationship between health care payers and providers,” state Erika Harness, MHA, from the Sidney Kimmel Medical College at Thomas Jefferson University, and coauthors of the study. The Payvider model is one promising approach, with the partnership model of shared ownership considered to be the most effective. The current study examines “Academic Payviders,” a term that describes academic health systems that provide health plans to patients.
The investigators reported rapid growth of Academic Payvider systems within the last two decades. “The growth of Academic Payviders is stimulated by ongoing policy and market factors,” stated the investigators.
“Ultimately, this shift in payment models can aid patients and providers alike. The patient experiences benefit from improved coordination and integration, reduced insurance hassles, and increased staff attention to ensuring optimal outcomes. Simultaneously, providers experience reduced administrative burden and burnout.”
In an accompanying editorial, Josh Berlin, Chief Executive Officer of rule of three, LLC, writes, “Whether the Academic Payvider is the or an answer to an industry fraught with challenges remains to be seen. The underlying paper notes the sample size is still relatively small by comparison to the quantity of academic institutions serving healthcare overall. Nevertheless, these relationships bring inspiration for the art of what is possible to drive complex, higher cost care down through innovative payment and reimbursement structures more effectively and efficiently managed with the expertise of such unique collaborators.”
About the Journal
Population Health Management is an authoritative peer-reviewed journal published bimonthly in print and online that reflects the expanding scope of health care management and quality. The Journal delivers a comprehensive, integrated approach to the field of population health and provides information designed to improve the systems and policies that affect health care quality, access, and outcomes. Comprised of peer-reviewed original research papers, clinical research, and perspectives, the content encompasses a broad range of chronic diseases (such as cardiovascular disease, cancer, chronic pain, diabetes, depression, and obesity) in addition to focusing on various aspects of prevention and wellness. Tables of Contents and a sample issue may be viewed on the Population Health Management website. Population Health Management is the official journal of the Population Health Alliance.
About the Publisher
Mary Ann Liebert, Inc. is a global media company dedicated to creating, curating, and delivering impactful peer-reviewed research and authoritative content services to advance the fields of biotechnology and the life sciences, specialized clinical medicine, and public health and policy. For complete information, please visit the Mary Ann Liebert, Inc. website.
Journal
Population Health Management
DOI
10.1089/pop.2023.0300
Method of Research
Case study
Subject of Research
People
Article Title
The Academic Payvider Model: Enhancing Value-Based Care
Article Publication Date
7-May-2024
