Value-Based Care

With strategies that necessitate keeping patients “in-network,” many health system leaders are evolving their approach to Patient Access.

Geared to physicians, this webinar covers how MACRA will change the way doctors are paid and sets the stage for value-based reimbursement, beginning in 2019. During this half-hour physician education webinar, HSG discusses: How physician reimbursement will change under MACRA – Congress’s long-term solution to the SGR fix; and How MACRA sets the stage for […]

Spurred by the need for better integration and the need to protect volumes, billions have been invested by hospitals and health systems in physician practices. In many cases, the result has been massive losses for the system with few of the benefits promised by integration. Rather than creating effective, multi-specialty groups, health systems are saddled […]

Specialties other than primary care can, and should, be included in clinical practice transformation efforts – particularly those surrounding patient-centered care. You’ve probably heard comments from specialists that they’re relieved all the patient-centered talk only applies to primary care. You’ve probably heard the same thing about clinical practice transformation efforts. Well, the truth is they […]

Healthcare organizations are wondering how they can predict their performance under the Quality Payment Program’s MIPS pathway. The answer is actually the same as it was for gauging performance under the PQRS and the Value-Based Modifier programs – CMS’ Quality and Resource Utilization Report (QRUR). We find that most organizations have similar, basic questions: What […]

With all of the uncertainty about changing health policy and the ACA, it is easy to get distracted. But those distractions hide a deeper truth: many changes are inevitable. It is critical that you not lose sight of the evolution required of your organization and its physicians if you are to successfully address those changes. […]

Effectively building a high-performing employed physician network takes time and focus.  Most networks are fraught with problems at every level and lack sufficient resources to ensure the production of value needed.  The most common problems we see with employed networks are: Lack of overall strategy and strategic action plans; Weak group culture; Limited focus on […]

Developing a shared vision statement for your physician network is critical under value-based reimbursement.   Without a shared vision, the likelihood your employed network will get you where you want in the next few years is very small.  Rather than a united group, you will have a confederation of practices. Why should you care?  If […]

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 can’t be developed by the provider organization alone. They require a payer organization as a strategic partner. Others may not be relevant for both Medicare […]