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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 
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