With population health, value-based care, pay-for-performance, and accountable care organizations (ACO), the industry is crowded with new care initiatives, largely generated by healthcare payment reform. Let’s talk about what's really happening, how we got here, and some of the key challenges. To start, let’s establish some operational definitions and understand the relationship between terms. The chart below should help to illustrate the relationship between these industry drivers.
As organizations evolve from fee-for-service to full risk-sharing models, they take on increased revenue risk and need to rely on increased population health-style care to drive performance and outcomes. To further understand this changing landscape, request our white paper. We'll review how reimbursement is changing, how care models are evolving, and the challenges that abound as well as some changes you can make to adapt.