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Risk-Bearing Organizations & Health Plans
The transition from fee-for-service to alternative payment models continues with the Centers for Medicare and Medicaid Services leading the way and commercial payors following suit. This shift in payment dynamics has created new entities that are willing to bear risk, as well as new payment models for physicians. Transaction activity includes assessing health plan assets, establishing accountable care organizations (ACO) or clinically integrated networks (CIN), and seeking physician alignment through innovative compensation models or working with practices accepting capitated payment models.
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Relevant Engagements
- VMG Health was engaged to render its opinion on the fairness, from a financial point of view, of the consideration to be paid by a subsidiary of Blue Shield of California related to the acquisition of the assets and operations of Brown & Toland Physicians.
- VMG Health was engaged to render its opinion on the fairness, from a financial point of view, of the consideration to be paid by Kaiser Foundation Health Plan of Washington related to the acquisition of the assets and operations of Group Health Cooperative.
Risk-Bearing Organization & Health Plan Experts
The Vertical Consolidation of Tech-Enabled Primary Care Practices
Written by Tyler Perper and Madeline Noble Since the beginning of 2022, the healthcare industry has seen the fast-paced consolidation...
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