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New APG Manual Offers an Essential Guide to Risk Contracting
BY JENNIFER JACKMAN, VICE PRESIDENT OF BUSINESS DEVELOPMENT, AMERICA’S PHYSICIAN GROUPS
Throughout the nation, America’s Physician Groups’ member organizations have been driving the evolution and transformation of healthcare delivery— while navigating financial risk—in the form of value-based contracts. To help our members navigate the details of these contracts and business relationships, APG collaborated with our members to create the APG Value-Based Contracting Manual: An Essential Guide for Physician Organizations.
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We are pleased to announce that this comprehensive publication is now available for digital download—exclusively for APG members.
This new Manual covers a host of issues surrounding risk-based contracting and meeting the operational requirements of risk-based agreements. It will be an indispensable resource for anyone who is in risk-based care or who is contemplating risk contracting—even those with significant risk experience. This kind of knowledge is usually gained from personal experience or hired consultants, but we were fortunate to be able to tap into the incredible expertise of our members, who were willing to share their expertise, tools, opinions, and tips.
Under the guidance of the APG Contracts Committee, we assembled a voluntary team of remarkable experts with a depth of knowledge in negotiating and managing successful risk-based arrangements. Our editors and contributing authors represent a range of highly successful physician organizations with many years of experience managing risk and improving the quality of care provided to their patients.
The Value-Based Contracting Manual showcases the authors’ expertise, and the references and sample materials provided will give you a leg up in planning and implementing risk arrangements. Not only will you learn about value-based contracting, but there is also vital information on planning, business relationships, financial operations, and administrative operations far beyond a payer agreement negotiation.
As risk is often accompanied by the delegation of services and functions traditionally performed by payers, you will also find important information about delegation agreements, performance, and auditing of delegated services.
Manual sections include:
• Preparation for risk contracting
• Legal issues and general contractual terms
• Sample language
• Obligations of the provider organization and the payer
• Compensation
• Term and termination
• Data sharing and use
APG acknowledges and thanks the authors for their assistance in preparing and reviewing the Manual’s material. They have our deepest appreciation for their time and dedication to this project. Our sincere gratitude goes out to Jim Agronick, Wendy Bavan, Debra Bohn, Brent Boyd, Norm Davidson, Jackie Luxenberg, Dan Roberts, Kelly Robison, Wayne Sass, Steve Linesch (coeditor) and Bruce Young. We also want to thank APG’s Norma Springsteen for her sharp editorial eye and many contributions. o
If you would like a copy of the Manual or would like to join the APG Contracts Committee, please email Jennifer Jackman, APG Vice President of Business Development, at JJackman@apg.org.
Jennifer Jackman
