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:

• 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