California Knox-Keene Plans and Risk Bearing Organizations

September 25, 2017

As the health care industry transitions from traditional fee-for-service reimbursement towards value-based reimbursement, risk arrangements are becoming increasingly popular.  The licensure and oversight requirements for risk arrangements vary significantly across states, and California is among the states that impose extensive formation, fiscal solvency and reporting requirements for entities that bear risk.  This webinar described California’s regulatory framework for risk arrangements, including the requirements for the formation and maintenance of Knox-Keene licensed health care service plans and risk-bearing organizations.  It also addressed the overlay of value-based healthcare and discuss key considerations for industry stakeholders as they consider implementing value-based and other innovative payment models in California.

Click the links below to access the presentation materials.