The Speed of Trans­for­ma­tion: Preparing for the Value-Based Pay­ment Mod­els of Tomorrow – Now

“Be­fore any­thing else, prepa­ra­tion is the key to suc­cess.”

Modern Healthcare - - NEWS -

This Alexan­der Gra­ham Bell quote seems es­pe­cially ap­pli­ca­ble to health care to­day. Huge eco­nomic and reg­u­la­tory changes are trans­form­ing the health care in­dus­try in im­mutable ways, none of which are more trans­for­ma­tional than the move to­ward value-based pay­ment. Even though risk-based con­tracts still ac­count for a small per­cent­age of a hos­pi­tal’s re­im­burse­ment struc­ture, the mar­ket shifts are clear: It’s time to pre­pare for fee-for-value.

Down­load the white pa­per, “Preparing for the Pay­ment Mod­els of Tomorrow,” that ex­am­ines how or­ga­ni­za­tions can more quickly bear clin­i­cal and fi­nan­cial risk of pa­tient care. Prepa­ra­tions should fo­cus on ef­fec­tively con­vert­ing cur­rent clin­i­cal and fi­nan­cial mod­els and sup­port­ing physi­cians through the com­ing changes. Specif­i­cally, this pa­per cov­ers:

• The driv­ers of change—what is push­ing the shift of risk from pay­ers to providers?

• Risks vs. re­wards—change is al­ways risky, but the risk of fo­cus­ing more on the sta­tus quo may cause an or­ga­ni­za­tion sig­nif­i­cant fi­nan­cial stress.

• Re­quire­ments and con­sid­er­a­tions in value-based con­tract­ing—how providers should ap­proach re­mod­el­ing care pro­to­cols, de­velop re­la­tion­ships with clin­i­cal and trad­ing part­ners, and op­ti­mize in­for­ma­tion tech­nol­ogy.

• Chal­lenges of value-based con­tract­ing—what’s the right com­bi­na­tion of peo­ple, process, and tech­nol­ogy?

• Man­ag­ing busi­ness and cul­tural change—mod­i­fy­ing cul­ture while im­prov­ing busi­ness prac­tices.

• Man­ag­ing change with physi­cians—ob­tain­ing buy-in from those most closely as­so­ci­ated with pa­tients.

• Man­ag­ing change among pa­tients—find­ing what mo­ti­vates pa­tients to par­tic­i­pate more in their own health­care.

“Prepa­ra­tions should fo­cus on ef­fec­tively con­vert­ing cur­rent clin­i­cal and fi­nan­cial mod­els and sup­port­ing physi­cians through the com­ing changes.”

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