Population-Based Risk Contract

A Population-Based Risk Contract (PBRC) is a type of payment model used in healthcare that aims to incentivize providers to improve the health of a specific patient population and reduce the overall cost of care.

Under a PBRC, a healthcare provider or group of providers assumes responsibility for the health and well-being of a defined patient population and is reimbursed based on the overall cost of care for that population.

Much like in an MSSP model, the provider is incentivized to coordinate care, improve health outcomes, and reduce costs overall, rather than just providing individual services or procedures.

PBRCs are often used in the context of Accountable Care Organizations (ACOs) and are seen as a way to align financial incentives with the goal of improving health and reducing costs. They encourage providers to work together to manage the care of a patient population and to take a comprehensive approach to care delivery, rather than focusing solely on individual services or procedures.

As a relatively new payment model, PBRCs have not yet been fully evaluated for their effectiveness in improving health outcomes and reducing costs. However, this type of contract is seen as a promising approach to healthcare delivery reform, and is being used by an increasing number of healthcare organizations as a way to improve the quality and efficiency of care.

Alternative payment models like PBRCs can benefit from the use of Vim’s technology that helps drive performance on value-based actions. Learn more at getvim.com