Payment models

We are currently funded with a variety of Foundation dollars and some form of Foundation funding will likely always be in our future. Funding strategies for asthma will look like a puzzle with MCOs paying fees for certain tasks or services they want to purchase, but those fees rarely pay for the whole program. The ability to show good outcomes and savings paves the way for the Value Based Purchasing and/or Pay for Success models. It is my view that any asthma program will need multiple funding streams to cover different aspects of the programs.

Other payments models include targeted case management, bundled services, fee-per-visit/fee-per-referral, value-based payments or shared savings payments (without PFS).