September 19 2017 | 0 Comments | 170 reads Average Rating: 3

Changing roles of payers and providers in a value-based care world

by Jonathan Niloff, MD (Guest Author) in Health Analytics

Earlier this year, Jonathan Niloff, MD, president of Niloff Healthcare Strategies, a recognized thought leader on accountable care and health system transformation discussed how provider organizations can improve value-based outcomes during a webinar titled “Insight-Driven Outcomes: A Focus on Risk, Quality and Provider Networks.”

Later, Dr. Niloff sat down with SCIO Health Analytics to offer his expert perspective on a variety of trending topics. In this part-1 of the recorded conversation, he elucidates on:

  • The changing roles of payers and providers under value-based care
  • The blurring of the organizational lines – as payers act more like providers and vice versa
  • Why legacy IT systems are not cut out to handle value-based models and are creating a lot of complexity
  • The challenges associated with juggling fee for service and value-based models during a period of transformation
  • Require data acquisition, IT infrastructures, and new areas of expertise that don’t typically reside in health systems
  • Why it is important for healthcare organizations to develop and implement a multi-year roll out plan as they transition to new value-based care models

We invite you to listen in as Dr. Niloff expands on these topics in this short video.

Also, view slideshare of the webinar presentation.

Rate this Article:

Average: 3 (2 votes)

Jonathan Niloff, MD (Guest Author)
President, Niloff Healthcare Strategies, LLC

Dr. Jonathan Niloff has been a healthcare professional for over 30 years and is a recognized thought leader on accountable care and health system transformation. His diverse background includes roles as an academic, physician, health system and IT executive, and entrepreneur.

Read full profile and other posts |

Log in to post comments



Arun Rangamani
SVP, Care Optimization and SCIOXpert Services

Ben Steverman
Chief Technology Officer

Bob Abrahamson
Vice President, Product Management

David Hom
Chief Evangelist

Dr. Kevin Keck
Chief Medical Officer

Jen Cressman
Vice President, Professional Services

John Pagliuca
Vice President, Life Sciences

Jonathan Niloff, MD (Guest Author)
President, Niloff Healthcare Strategies, LLC

Lalithya Yerramilli
Vice President, Analytics

Lesli Adams, MPA (Guest Author)
Director of Population Health Strategy, Oracle Corporation

Leslie Strader
Project Manager

Linda Pantovic (Guest Author)
Director of Compliance & Risk Adjustment, Scripps Health Plan Services

Mark Feeney
Life Sciences Consultant

Monique Pierce
Vice President, Business Optimization

Nayfe Faillace
Chief Compliance & Privacy Officer

Nicole Cormier
Senior Manager, Home Health

Priyanka Rajkumar
VP - SCIOXpert and Solutions, Analytics

Rachel Hall
Senior Business Analyst

Rena Bielinski
SVP, Strategic Accounts

Rodger Smith
SVP, Payment Integrity

Rose Higgins
President, North America

Subha Vaidyanathan
VP, Technology and Data Management

Taryn Bevilacqua
Compliance Director

Tom Peterson
SVP, Risk Adjustment


Sign up to receive the latest SCIO news & insights, industry updates, event updates and more, right in your inbox.