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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) […]
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Developing a PHO: 6 Key Considerations
Payment and insurance reform have driven hospital/physician alignment over the past few years. With hospitals and physicians increasingly being held accountable for each other’s actions, the need for tighter integration […]
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Preparing for Emerging Delivery Models: PHO Development to Facilitate Value-Based Care Delivery
Physician-Hospital Organizations (PHOs) are experiencing a resurgence, as hospitals and health systems grapple with ACOs, Bundled Payments, narrow networks and direct contracting in the wake of healthcare reform. During this […]
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Use These Five Strategies to Align with Independent Physicians
To many hospital CEOs, there are days when it seems as though every physician on the medical staff wants to be employed. In reality, that’s not true — quite a number of physicians […]
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Re-Emergence of PHOs
Not everyone needs to become an Value-Based Care Organization (ACO) today. Some hospitals should consider developing a risk-friendly entity such as a Physician/Hospital Organization to address cost reduction targets for […]