109 Panel: Provider Strategies for Succeeding in Risk-Sharing Payment Models

As alternative payment models continue to mature, providers are being asked to assume greater financial risk – or “two-sided risk” – as opposed to only shared savings. While some provider organizations are succeeding at delivering care that results in improved outcomes, integrated clinical processes, and more efficient work flow in a two-sided risk model, the system as a whole is still far from reaching the “tipping point” at which the majority of providers feel ready to take on this financial risk. Concerns about the impact of a two-sided model on a provider practice’s financial viability are real, but so are the strategies and promising practices that some organizations have implemented to meet this challenge.

This session will feature representatives from payer and provider organizations that have taken on the challenge of assuming downside risk, who will share their experiences, touching on such issues as how to address concerns about financial viability, and assessing core infrastructure capacity and needs for taking on financial risk. The goal of this session is to provide attendees with information on how payers and providers can better prepare for the financial risks associated with relevant APMs, as well as understand the opportunities and rewards.

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