The health care industry is heading full speed into reform and change. The Affordable Care Act (ACA) and the shift from fee-for-service to fee-for-value reimbursement are making leaders think differently about how organizations should be run.
No two health care companies are the same. Each must find unique ways to evolve that suit their revenue and delivery models. This is no easy task, as any executive will tell you. Clinics and hospitals are referred to as “health care providers” for a reason: they are deeply entrenched in providing care, with less of a focus on managing health. It will take time, resources and ingenuity to change course.
Over the next several weeks, we’ll highlight how health care organizations can navigate value-based pathways and manage risks along the way. The next several posts will discuss how optimizing financial performance will help most organizations move most effectively along the journey to value-based care. Supporting posts will provide guidance on patient access, medical necessity and reimbursement. We’ll also touch on the importance of upgrading coding and documentation.
Subsequent posts will show how to recreate care delivery models while re-aligning incentives for providers, as well as suggesting strategies for managing risk.
Optum is excited to join you on the journey to value-based care. You can download a free copy of the “Beyond the Curve of Health Care” eBook here. Let’s go.