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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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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 […]