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SUMMARY:The Future of Specialty Care is Value Based
DESCRIPTION:In specialty care\, challenges like overutilization; fraud\, waste\, and abuse (FWA); and wide variations in provider performance drive up costs. Health plans often respond by making blanket reimbursement cuts\, narrowing networks\, and implementing complex utilization management (UM) protocols. But these approaches often delay care\, frustrate providers\, and rarely deliver meaningful impact. \nIn this webinar\, we’ll explore how value-based therapy models offer a smarter\, more sustainable solution. By aligning incentives\, reducing administrative burden\, and rewarding quality outcomes\, value-based programs can address inefficiencies without penalizing high-performing providers. While not one-size-fits-all\, this model works for most and delivers measurable benefits for payers\, providers\, and members. \nWe’ll also be joined by CORA Physical Therapy\, a leading outpatient therapy provider with more than 250 clinics across 10 states. They will share insights into the strategic application of value-based care and explain why therapy is a strong candidate for innovative payment and care delivery models. Learning Objectives • Identify the key challenges in specialty care and understand why traditional cost-control strategies often fall short. \n\nExplore how value-based care models can be applied to specialty disciplines to improve outcomes\, reduce administrative burden\, and ensure fair provider compensation.\nExamine a real-world case study from CORA Physical Therapy to understand how value-based care can be implemented and the measurable impact on cost\, quality\, and provider satisfaction.\n\nSpeakers H. Kelley Riley\, MD\, MBA\, Chief Medical Officer\, Health Network One \nMartin Bilowich\, Senior Advisor\, Health Network One \nTom Austin\, Senior Vice President\, Strategic Finance\, CORA Physical Therapy \nModerator: Kristin Gasteazoro\, Chief Growth Officer\, Health Network One
URL:https://medicaidplans.org/event/the-future-of-specialty-care-is-value-based/
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