ABC's of Healthcare 2014:
Rationalizations for the poorly performing ObamaCare Web site aside, Steven Valentine's advice during HIN's tenth annual Healthcare Trends & Forecasts program underscores the accountability factor in value-based healthcare.
There really aren't any more excuses for poor clinical outcomes or wasteful spending — not with the proliferation of evidence-based, patient-centered care models and tools to track population health, explained Valentine.
Accountability is part of the Triple Aim mentality that pervades the industry and colored predictions by both Valentine, president of The Camden Group, and Catherine Sreckovich, managing director in the healthcare practice at Navigant, during HIN's tenth annual Healthcare Trends & Forecasts in 2014 Strategic Planning Session. Predictions by these industry thought leaders on the care delivery and reimbursement strategies to watch in the year ahead bolster the notion that big data, risk-stratified accountable care and performance-based reimbursement are here to stay.
Accountability also extends to new models of care delivery — the medical neighborhood, an amped-up version of the patient-centered medical home that pulls specialists, care coordinators and community linkages into the care continuum, or the "Team Approach, One Member at a Time" population health management philosophy of Kaiser Permanente, which Valentine hailed as "the poster child for the Obama administration as to what an ACO might look like."
Ms. Sreckovich, examining the healthcare year ahead for payors, concurs with Valentine on the potential of the ACO, but also cautioned that as with other shared savings models (bundled payments and patient-centered medical homes, for example) there are hurdles to ACO implementation that remain, including their high setup cost. "Organizations have to have the right resources, staff, time, money, etc., to meet their accountability targets," she said.
In case you missed this webinar, you still have a chance to watch this highly-rated program.
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You can "attend" this program right in your office and learn assessing risk for population health management, driving the value proposition in physician-hospital Integration, the healthcare industry environment and physician realities; the ACA marketplace; bending the cost curve with shared saving models, the push for payers to become more sophisticated purchasers with big data, healthcare data availability; and the next steps in value-based purchasing.
It’s so convenient! Invite your staff members to watch the conference. We will send you a DVD or CD-ROM of the conference proceedings or a link to our web site with a username and password. You can log in and view the program right from your computer — any time of the day or night, whenever convenient for you and your colleagues — and benefit from the archived recording of the conference, including the Q&A period.
You'll get to listen to the question and answer session to hear what's keeping the CEO and CFO up at night; the priority investments to be made as organizations transform from volume to value; when the largest migration to the exchanges will occur and whether employers will pay or play; the trend toward narrow networks; when and why it makes sense for providers to own and operate a health plan and the market conditions that must exist for this to make sense; strategies for developing effective reimbursement models for ACOs; where the future growth in ACOs will occur; and the trend toward the medical neighborhood.
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I hope you find it useful.
P.S. -- You may also be interested in these resources on strategic planning resources: