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Enerhealth Executive Says Population-Based Payment Pilot Could Cut Avoidable Hospital Admissions
Summary
Dr. Clark of Enerhealth told the committee that assigning financial risk for a defined population and hitting a cost target would align incentives to prevent avoidable admissions for conditions such as heart failure and diabetes, arguing upstream care lowers costs and improves outcomes.
Dr. Clark, identified in the transcript as speaking "from Enerhealth's perspective," told the Joint Economic Committee that her organization owns hospitals, medical groups and insurance plans and that taking risk across a population can remove perverse utilization incentives. "We want to take a risk on the overall population," she…
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