HSG Advisors

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HSG’s Value-Based Care Readiness Assessment helps hospitals and health systems create a detailed action plan for clinical integration.

 

The healthcare industry’s business model is changing. Are you ready?

 

While the transformation to value has been gradual, the process is speeding up. By 2018, more than half of Medicare payments will be value-based. Private payers are following suit – in many cases more rapidly than CMS. Hospitals and health systems must proactively devise a strategy to manage this transition.

 

During system-wide strategic planning initiatives, we encourage clients to consider:

  • How quickly their market is evolving to accountable, value-driven patient care and payment models; and
  • How well prepared they are for this change.

 

In their preparedness for Value-Based Care, most provider organizations generally fall into one of three categories:

  1. They have deferred taking action as they have yet to see concrete movement towards value in their local market; or
  2. They see a shift in their market and acknowledge the need for a strategy but don’t know where to start; or
  3. They see the transformation occurring around them, and in response, have developed, and are beginning to deploy, a relatively refined strategy.

 

Most hospitals and health systems fall into the second category and must overcome two hurdles:

  • Accepting accountable, value-based care as the path forward; and
  • Understanding the need for a long-term strategy that emphasizes quality, outcomes, controlling costs and rationing utilization.

 

HSG’s team of experts has developed a robust Value-Based Care Readiness Assessment built on the principles of clinical integration to help provider organizations move beyond categories 1 and 2. Our comprehensive assessment focuses on:

  • Educating stakeholders on the transformation from volume to value.
  • Assessing key market drivers to determine the pace at which your local market is transitioning.
  • Conducting a core capabilities assessment to identify gaps in the capabilities the organization needs to compete in a value-based care environment.
  • Developing a detailed action plan that prioritizes immediate and long-term tasks that must occur in order to address and overcome identified gaps.