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  • The Return of Risk Sharing: An Exploration of Four Emerging Corridors of Hospital-Physician Risk

The Return of Risk Sharing: An Exploration of Four Emerging Corridors of Hospital-Physician Risk

By David Burik , Casey Nolan

In this issue of Alert to Health Systems, Navigant's David Burik, Trent Green, Nathan Kaufman, and Casey Nolan examine how potential changes to health care payment approaches could cause renewed interest in hospital-physician integration. The authors look at four new corridors of hospital-physician integration: (1) quality improvement and cost savings incentive programs that are exempt from current Medicare physician self-referral law; (2) clinically integrated contracting vehicles; (3) acute care episode (ace) or health system-physician ´┐Żbundling´┐Ż demonstration projects; and (4) medical home primary care models. Each corridor is discussed in detail and the authors offer several ways to prepare. The authors end with several potential scenarios for how these issues play out in the future, including the expectation that some combination of these four corridors will become permanent additions to the market.


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David Burik

David Burik is a Managing Director in the Healthcare practice, and has 30+ years experience within all segments of the health care industry, focusing on the strategy segment.

Casey Nolan

Casey Nolan is a Managing Director in the Healthcare Practice, and leads its Strategic Planning segment. With 30+ years' experience, his clients include healthcare delivery systems, university medical centers, physician practice groups.

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