Although value-based care and direct-to-employer payments are increasing, health systems and hospitals continue to be paid predominantly on a fee-for-service basis. The challenge for providers is to successfully navigate today’s volume-driven model while transitioning to value-based care. The critical decisions involving the commitment to this journey and timing of it are fraught with numerous challenges – primarily focused on how best to bridge the financial gap while moving from volume to value. With the right strategies, programs and timing, we believe that health systems can continue to achieve their financial goals while becoming the market leaders for the delivery of value-based care.
We advise our clients to focus on a strategy that will drive success regardless of payment model. The core of this approach is a focus on becoming the market-leading provider of value, one that delivers high quality care at the lowest cost. To become the market leader of value, a healthcare system must optimize its operating fundamentals, primarily: revenue cycle, managed care contracting, physician recruitment, patient acquisition and engagement, enterprise IT, population health and performance management.
Without optimizing these core functions, a successful transition to value is at risk. To drive risk out of the transition-to-value journey, we place great emphasis on helping our clients to improve financial and operating results in the short term while laying the groundwork for the core value-based and direct-to-employer business model changes to come. During each step of the journey our team of CSuite advisors will be “on call” to assist your leadership team to move your healthcare organization forward.