Preparing for and managing Healthcare Reform initiatives involves structuring all providers into a manageable, measurable accountable care organization (ACO) that provides quality and value utilizing a global price and reimbursement methodology.
SRM provides insight, structure and support for Healthcare Reform initiatives:
Development of the organization’s alignment, collaboration and ACO initiatives involves:
SRM provides insight, structure and support for Healthcare Reform initiatives:
- Managing contracted, independent and employed physicians in support of change
- Fine tuning clinical integration … how providers must collaborate to manage care, demonstrate value and sustain their financial viability
- Evolving care, disease management and clinical pathways
- Creating new payment models to combine professional/technical fees
- Managing greater than expected readmit rates to avoid Medicare payment reductions
- Helping providers truly improve collection and use of data to drive MIPS performance
- Implement collaborative programs such as medical co-management to align physician and hospital providers in a unified focus on performance
- Develop and implement programs to manage patient encounters and needs across the continuum of care
Development of the organization’s alignment, collaboration and ACO initiatives involves:
- Interviewing hospital and physician leadership to identify needs, vision and structure
- Identifying goals and criteria for all health care reform strategic imperatives
- Validating shared goals and strategic imperatives for contracted, independent and employed physicians
- Establishing alignment for all hospital/physicians reform initiatives
- Performing inventory of physician and hospital needs requirements
- Analyzing market and competitors to support brand recognition
- Facilitating work sessions with administration, physicians and nurse clinicians
- Establishing criteria and protocols for evaluating effectiveness, strategies and clinical outcomes for identified tactics and strategies
- Integrating the agreed upon health care reform structure with the current hospital and physician practices to support a patient centric care delivery model