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ACOs as Precursor to Clinical Integration
Medicare ACOs are a great starting point for your clinical integration (CI) strategy. First, they require discipline when it comes to creating CI infrastructure. The application process for the MSSP […]
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Webinar: Road to Risk: Pursuing an MSSP ACO to Achieve Clinical Integration
MSSP ACOs offer hospitals an ideal vehicle for preparing for risk-based reimbursement. Here’s what you need to know to get yours started in 2017. Time’s a wastin’, […]
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The 16 Core Competencies Your ACO Needs to Succeed
Here are the 16 ACO core competencies providers need to succeed under Value-Based Care. Provider organizations need 16 core competencies to succeed under Value-Based Care. Some of these competencies […]
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Building a Clinically Integrated Network? Six Things You Can’t Afford to Ignore
Don’t underestimate the importance of these six key design and due diligence efforts as you develop your clinically integrated network (CIN): Vision & Purpose: Defining the vision upfront provides ongoing […]
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Case Study: Transforming an IPA into a Clinically Integrated Network – Three Levers for Success
Background With only a quarter of early ACOs producing savings sufficient to share in them and uncertainty over how quickly the industry will transition to value-based reimbursement, many hospital leaders […]
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The Role Physician Leaders Must Play in Clinical Integration
The healthcare industry axiom — early, ongoing physician involvement in the strategic planning process predicts positive results — applies just as much to developing a Clinically Integrated Network (CIN) as […]
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Accelerate Clinical Integration with a Medicare Shared Savings Plan (MSSP) ACO
MSSP ACOs offer hospital systems the ability to clinically integrate and enter commercial markets while avoiding many regulatory issues. The Regulatory Catch-22 To successfully contract with payers, hospital systems must […]
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Case Study: Developing a Clinically-Integrated PHO to Align an Employed Physician Network and Independent Community Physicians
Background A large multi-specialty physician group (wholly owned and operated by a four-hospital health system) took a 25-percent upside/downside risk as a percent of premium on 6,000 Medicare Advantage (MA) […]