From contract to P&L – The Journal of Healthcare Contracting

From contract to P&L – The Journal of Healthcare Contracting

April 1, 2026 – When contracting care, the worth is never disputed in precept. The friction exhibits up later, when sourcing stories one quantity, finance validates one other, and each are technically right inside their very own logic. Most of the time, the basis trigger just isn’t implementation or compliance, however the baseline chosen to measure affect.

Two baselines dominate contract evaluation: Final Value Paid (LPP) and Weighted Common (WA). Every has reliable use instances. If utilized indiscriminately, they will additionally obscure actuality. Understanding their habits on value enchancment and conversion tasks is important if reconciliation is the purpose reasonably than merely reporting worth.

Ultimate value paid: highly effective, intuitive and harmful

Final Value Paid is engaging as a result of it feels concrete and is straightforward. It displays the latest transaction earlier than a brand new contract comes into impact and subsequently resonates with operational stakeholders. Particularly in conversion tasks, LPP usually covers all the financial delta between the outdated product and the brand new.

Nevertheless, LPP has a structural weak spot that turns into obvious over time: it’s path dependent.

As costs fluctuate throughout the 12 months, LPP implicitly anchors all earlier volatility into the baseline. A year-end value spike, distributor adjustment, or short-term surcharge can dramatically enhance the obvious worth of a subsequent contract, even when that contract solely restores costs to historic norms.

Learn extra within the newest situation of JHC.

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