Article of
Interest
April 22, 2014
ARTICLE DETAIL:
Author: Diana Manos, Contributing Editor
Article Date: April
22, 2014
Title: Investing for value-based care
HEALTHCARE
FINANCE NEWS
Found this article
to be of interest. As we prepare to move away from Fee-For-Service
reimbursement as we know it; various models are being to developed to meet the
delivery of Healthcare.
Investing for value-based care
To quickly make the transition from fee-for-service to
value-based care, accountable care organizations must figure out where to
invest and take cues from those which have mastered the model.
This is an era of “heavy-duty strategies and tough
decisions,” said J.D. Whitlock, director of clinical and business
intelligence at Catholic Health Partners, during a presentation at the
Healthcare Business Intelligence Forum hosted by HIMSS Media and Healthcare IT News on April 16. (Healthcare Finance News is a division of
HIMSS Media.)
To be successful in the current scenario hinges on the
ability of hundreds of ACOs to learn quickly from the organizations that have
mastered ACOs – organizations like Geisinger Health System, the Mayo
Clinic and Kaiser Permanente.
Organizations like this have invested heavily in
electronic health system technology. ACOs that are trying to make the
transition to value-based care need to figure out where to invest their
technology dollars, Whitlock said.
Core options are investing in deploying – and subsidizing
for affiliates – a centralized EHR capable of at least some population health
management or deploying a private HIE capable of clinically integrating many
disparate EHRs and a comprehensive population health management platform. “You
probably aren’t going to be able to afford both,” he noted.
ACOs also need to invest in their analytics team, said
Whitlock, which should include a healthy mix of junior and senior analysts and
those with claims data and clinic expertise. Ideally, it’s best to get clinical
and claims analytical capability in the same person, but that’s hard to find,
so organizations might need to grow that dual capability in individuals over
time.
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