Smart Guide for APM Success – Part 1: Define Your Healthcare Network’s Transition Strategy
Value-Based Care is at a tipping point. But it’s not just about whether providers adopt alternative payment models (APMs) or ACOs. The real tipping point is whether traditional health systems can get on board fast enough to survive the corporate health care business that is poaching providers and patients. Corporate health care is not only unfazed by downside risk of APMs, but also have built their business models on population-based payments.
Alternative Payment Models (APMs) and ACOs are the CMS response to transforming the health system and its volume-driven costs. However, traditional providers have stalled in ACO development and participation.
Transitioning from FFS to APMs is a monumental task involving renegotiation of many payer contracts and revamping financial systems, provider entities, physician compensation, and consumer-patient relationships. Intensifying this huge challenge, data will almost certainly be insufficient to determine organizational viability before start-up.
In this free, 22-page guide, Roji CEO Theresa Hush lays out key concepts and decisions to help you define your path:
- Understand your competition and its appeal to providers, and define essential actions to keep your workforce;
- Assess your infrastructure and identify which key pieces to activate first;
- Clarify criteria for APM selection, determine where to start, and craft a negotiation strategy.
This guide is Part 1 of our best practices pathway to APMs. Next up: How to make a successful transition.
Here’s what you’ll learn: