Hospitals, physician practices, and other provider organizations are dealing with unprecedented challenges in the present public health emergency following the spread of the novel coronavirus (COVID-19) pandemic. Providers can expect to continue feeling the impact of COVID-19 long after the public health crisis abates. Given that payers control a significant portion of providers’ revenue, the financial pressure on providers and successful navigation of the post-pandemic environment will require providers to reset their relationship with payers. In the pre-pandemic world, providers operated in a landscape characterized by steady and growing patient volumes, broad health insurance coverage, and generally adequate reimbursement. This landscape allowed providers to implement value-based payment models with insurers and other payers. COVID-19 has fundamentally disrupted this landscape. Providers must now look to adapt their payer relationships accordingly.
Read the full article: Health Care on the Other Side: Changing Payer-Provider Relationships in a Post-COVID-19 Landscape //
Source: https://www.lexology.com/library/detail.aspx?g=53ac189c-a741-4299-bf3f-c6c6f915c9be