The collaborative payer model is a dynamic partnership between a payer and a medical organization, built on aligned incentives, shared control, transparency, and joint accountability. In Missouri, a health plan’s commitment to collaboration and information transparency has enabled it to achieve the Triple Aim “plus one.”
As reimbursement cuts and other payment changes put intensifying pressure on physicians and medical groups, accountable care offers new opportunities for collaboration between payers and providers. Over the last decade, health insurers across the country have been practicing aspects of accountable care through the collaborative payer model, a care delivery innovation jointly developed by a payer and provider in which operational support tools, information, and technology help manage patient populations.
