When the actuaries determine how much a given illness is going to affect capitation in a value-based shared-risk system like Medicare Advantage, they look at the corresponding fee-for-service data and see what the costs have actually been.
That data is made up of care delivered by an aggregate of clinicians—i.e. the average.
You are not average.
You are highly motivated to do an excellent job delivering the most beneficial care in the most efficient manner possible.
There’s your arbitrage.
In shared-risk systems, you’re given resources to cover costs like you’re an average clinician.
But you practice like a great one.
And you keep the difference.
See?
Now go out find a practice that gives you a chance to realize your value—and don’t settle until you do.
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