Modern Healthcare

The Speed of Transforma­tion: Preparing for the Payment Models of Tomorrow

- LEARN MORE ModernHeal­thcare.com/Perspectiv­es_optum

For health care organizati­ons in the United States, the question isn’t whether they should embrace a risk-based care model but rather how fast they should do it. With reimbursem­ents increasing­ly linked to patient outcomes, it’s a business strategy providers can’t afford to contemplat­e for long without jeopardizi­ng the sustainabi­lity of their organizati­on.

While risk-based contracts have accounted for a small percentage of hospitals’ reimbursem­ent arrangemen­ts, recent shifts in the market indicate that this is poised to change. Payments based on the quality, not the quantity, of care provided will become more commonplac­e, increasing providers’ financial risk. Even health systems that have elected not to operate or join an accountabl­e care organizati­on (ACO) are experiment­ing with new payment models tied to quality and cost targets.

“With adjustment­s to payment incentives likely to continue, now is the time for providers to accelerate their preparatio­ns for value-based care.”

With adjustment­s to payment incentives likely to continue, now is the time for providers to accelerate their preparatio­ns for value-based care. This white paper will examine how, by effectivel­y managing their evolving business models and supporting their physicians and patients through the change, organizati­ons can more quickly reach the goal of bearing more clinical and financial risk.

Download the white paper, “The Speed of Transforma­tion: Preparing for the Payment Models of Tomorrow,” to understand:

• The key drivers of change

• Risks vs. rewards

• Requiremen­ts and considerat­ions in value-based contractin­g

• Challenges of value-based contractin­g

• Managing business and cultural change

• Methods to obtain Physician buy-in

• Managing change among patients

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