I want to re-emphasize the importance of attribution to all value based and pop health efforts. You can not have “accountability” if no one is accountable – and that for better or worse needs to be based on some agreed to attribution or assignment – by the person, by choice, by utilization (not my favorite) or by geography. Nascate continues to make progress on the side of enabling accountability. I agree with the folks at Gist Healthcare who are promoting the idea of a “membership” based model for providers and a transition to capitation for payment. But to make it happen we need to do the spade work. The Nascate attribution engine assigns all persons and creates a strength of relationship scale that informs both analysis and payment.
Take a look at the article I referenced by Gist here.