“Offer a value proposition, providing care teams that work in sync to nail outcomes and mitigate risk.

Jeffrey Hay, MD
Healthcare Consultant
Nosilla Relyt

Challenge

The post-acute care sector faces a rocky future—and significant opportunities for early change adapters—due to a perfect storm of burgeoning costs, dwindling reimbursements, and a growing demand for measurable quality of care. Today, post-acute care providers and payors in some markets still may not see a financial reason to use a coordinated care model for population management.

However, the healthcare system continues to evolve post-Affordable Care Act. In two to five years, there will be a major incentive to employ population management because it offers the means to reap a triple win for providers, payors, and patients:

  • Better outcomes, both in terms of healthcare quality and patient experience
  • Better transitions of care, i.e., better coordination of care from one healthcare provider to another
  • Lower costs, due to utilization of optimal care settings and streamlined management of episodes.

The Bottom Line

Now is the time to act because change takes time. In addition, healthcare operators that don’t get in on the ground level will find it difficult to later displace those operators that take advantage of early opportunities, gain experience with a coordinated care model, and lock up referrals in contracts.

In this paper, you will get:

  • Why proactive change will benefit your organization
  • Five key steps to implement in your post-acute care survival kit as you navigate the perfect storm
  • Data about the cost and resource containment that can be achieved via a coordinated care model
  • How you can define value for your organization and align incentives with your partners

We were successful with the care model described here under Medicare Advantage (MA) and commercial HMO contracts, prior to the rise of Accountable Care Organizations. As a result, what you will see here applies broadly to markets with and without ACOs.

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