Value (Business Strategy and Financial Management)
Facilitated Roundtable Discussion
V-13 - A Commercial Payer's Perspective on Payment Models for Virtual Care
Monday, April 30
4:35 PM - 5:00 PM
Location: Education Zone, Booth 2416, Zone 4
The transformation from Fee-for-Service to Value-Based Care has both insurers and providers focusing attention on service and payment models expected to increase value by increasing access, improving quality, and enhancing the patient experience, while decreasing the cost of care. Both insurers and providers are driving the adoption of virtual visits as technology, consumerism, and budgetary pressures converge to reveal the value proposition of virtual visits. Realization of the value of virtual visits is dependent upon provider adoption of the service, yet reimbursement is reported as the most significant barrier to provider adoption. Learn how one commercial payer developed a reimbursement strategy designed to achieve both provider and insurer goals.
- Identify virtual visit payment options typically considered by commercial insurers.
- Describe the importance of developing a virtual visit strategy that optimizes financial goals, as well as outcomes and patient experience.
- Identify insurer concerns regarding payment for virtual visits and describe successful approaches to collaborate with insurers to overcome these concerns.