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Reinsurance as a tool to mitigate risk in an alternative payment model24 April 2019 - By Robert D. Bachler and Nicholas Johnson and Meredith Russell and Pamela M. Pelizzari and L. Daniel Muldoon - Article

This report discusses the impact of various types of reinsurance on the risk posed to provider groups by oncology alternative payment models similar in structure to the Oncology Care Model.

BPCI Advanced: Key considerations for prospective model participants10 April 2019 - By Devin Cohen and Evander Williams and Michael Lampert and L. Daniel Muldoon and Pamela M. Pelizzari - Article

For organizations interested in pursuing the Bundled Payments for Care Improvement Advanced model, do the potential rewards for participating offset the risks and costs associated with that participation?

Alternative payment model financial settlements: Preparing for and learning from the process17 September 2018 - By Christine Ferro and Maggie Alston and L. Daniel Muldoon and Pamela M. Pelizzari - Article

This paper focuses on alternative payment model reimbursement methodologies through the lens of the Centers for Medicare and Medicaid Services Oncology Care Model as an illustrative case study.

Addressing challenges in the transition to value-based care and alternative payment models: A case study in the Oncology Care Model11 December 2017 - By Maggie Alston and Christine Ferro and L. Daniel Muldoon and Pamela M. Pelizzari - Article

This paper highlights the key aspects of alternative payment model payment methodologies and uses the Centers for Medicare and Medicaid Services Oncology Care Model as a case study to illustrate these concepts.

Developing alternative payment models under MACRA01 December 2017 - By L. Daniel Muldoon and Pamela M. Pelizzari - Article

This paper explores key clinical and financial considerations that need to be addressed in a robust alternative payment model proposal.

The future of Medicare's episode-based payments21 November 2017 - By L. Daniel Muldoon and Pamela M. Pelizzari - Article

Given the many drivers of change in payment and service delivery reform recently, providers that have been working to redesign their care delivery to align with the value-based payment goals of Medicare are asking themselves if value-based payment is here to stay and whether it is worth the continued investment.

Inside Medicare’s episode payment models20 July 2017 - By L. Daniel Muldoon and Pamela M. Pelizzari - Article

This paper outlines the major provisions of the final rules and suggests possible implications for affected providers.


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