Jasmine DeSilva: 6 ways private health plans could mitigate provider revenue loss in the wake of Covid-19

  1. Amend value-based care contracts mid-term using a unilateral amendment clause
  2. if the contract permits.
  3. Disregard performance data from the crisis period.
  4. Pause downside risk for 2020 and likely 2021.
  5. Cap or reduce shared losses through risk corridors.
  6. Use a previous year’s performance data to calculate 2020 payment.
  7. Make no changes
  8. but hold on reconciliation at the end of the performance period.
Notes: Author acknowledged input from Jackie Selby from Epstein Becker & Green, P.C. and Faegre Drinker Biddle & Reath law firms.

Source: Advisory Board, April 14, 2020 - https://www.advisory.com/research/health-plan-advisory-council/members/expert-i…

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