As healthcare reform legislation takes effect, risk-based payment models promise to change the industry as we know it. Healthcare reform is shifting the core incentives of Accountable Care Organizations (ACO) away from the pursuit of high-profit, acute care procedures and towards coordinated, efficient and quality care.
New ACO models, such as value-based purchasing, readmission penalties, bundled payments and shared savings, will now hold organizations increasingly accountable for the quality, cost and utilization of healthcare services. To prepare for new payment models, HealthSmart addresses four key areas:
1. Service Line Organization: Building a Dynamic Leadership Structure
2. Care Processes: Redesigning Care Processes for Value
3. Product Strategy: Mitigating the Risk of Accountable Care
4. Growth and Marketing: Moving to Compete Upstream