Joseph Papin, MD, on Strengthening Provider-Payer Collaboration for Shared Risk Models
The landscape of healthcare reimbursement is shifting decisively toward shared risk models, where clinicians and health systems are rewarded for delivering high-quality care at controlled costs rather than by the volume of services provided. However, the transition from traditional fee-for-service to value-based arrangements presents operational and cultural challenges. Physician-executive Joseph Papin, MD , Principal at Suncoast Search Capital, emphasizes that meaningful provider-payer collaboration is essential for the success of shared risk frameworks, and that collaboration must be anchored in trust, shared data, and clear governance. From Fee-for-Service to Shared Risk: A New Paradigm Shared risk models, including Accountable Care Organizations (ACOs), bundled payments, and capitation agreements, incentivize providers to improve patient outcomes while managing the total cost of care. This approach represents a fundamental shift: payers and providers no longer operate as separ...