The journey to value: Navigating the journey from providing care to managing health

There’s little doubt that health care is transitioning from fee-for-service to fee-for-value. Everyone seems to be getting on board: commercial payers are spending billions on risk-based contracts while the Centers for Medicare and Medicaid Services (CMS) is putting its clout behind its accountable care organization (ACO) and other value-based purchasing initiatives.

What’s not clear is how quickly or efficiently this transition will take place. The reality is that for all the progress being made, most health care organizations remain entrenched in fee-for-service. This isn’t surprising since the industry accounts for nearly 20 percent of our nation’s gross domestic product. The journey will take time.

In a series of posts, we’ll highlight the stages through which the transition from fee-for-service to fee-for-value must go. Specifically, we’ll discuss:

  • Optimizing financial efficiency by innovating around key areas of the revenue cycle
  • Designing a roadmap that plots how organizations will transition from a delivery model of volume-based care to one that is value-based
  • Investing in capabilities that will help organizations sustain themselves during the shift

Journey White P aperA complete analysis of this transition can be found in our latest white paper The journey from providing care to managing health.

In our next post, we’ll discuss financial needs for transitioning to fee-for-value and how the roles of patient access and medical necessity play a part in the move.

Leave a Comment

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.