Succeeding in Value-Based Payment: Success with Providers “Outside Your Walls”

Public hospitals and health systems have a commitment to provide access to care for the most vulnerable populations, including the uninsured and underinsured. They also have a unique opportunity to become leaders of a network of choice for
the care of Medicaid, Medicare Advantage, dual-eligible, subsidized exchange, and other populations by overcoming the traditional siloes of public versus private providers and community-based organizations (CBOs). This can be done through
engagement of private providers and CBOs in value-based payment arrangements that add value to health plans.