Many new provider types are struggling with risk-based contracting models that assume they are as mature as established medical groups.
We examine why recent market entrants face friction when forced into financial structures designed for long-standing organizations. The industry often treats these emerging provider models with the same expectations applied to mature groups, creating significant operational tension.
This misalignment creates hesitation regarding healthcare payments, specifically per-member, per-month models. We discuss why these organizations are not yet prepared for the financial risk associated with these contracts and what it means for the broader landscape.
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