This video by Dan Pribe explores modern approaches to healthcare financing, focusing on value-based care and the shift from fee-for-service models to cost models where providers share financial risk. It discusses various compensation approaches, including bundled payments, budget setting, and quality incentives, highlighting their advantages and disadvantages. The document emphasizes the importance of understanding these methods for actuaries involved in healthcare financing and insurance. It also touches on the challenges of measuring quality and aligning incentives to deliver cost-effective care.
Contributors: Dan Pribe, FSA, MAAA: James Lescoe FSA, MAAA; Doug Norris, FSA, MAAA, PhD; Jon Forster, FSA, MAAA