Hospitals and the Healthcare systems are changing due to changes in the healthcare industry and the delivery of care is also increasing the as they are shifting from the volume based care model to the value based model. As in the value based model they have to focus on the quality of care and best outcomes and access to the patients at a lower cost, in this value based model the healthcare provider payment is tied to the results of the access, quality and efficiency. It is more focused on the pay for performance as the better care they provide they will get more benefit sharing. But when the threshold levels are not met then they are at risk both the physicians as well as the hospitals. So the alignment should be improved as the healthcare
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1. Independent Physician Programs- this program usually involve developing of contracts with the physician groups. The hospitals develop and refine the programs to support and align with physicians who wish to be independent. These are flexible programs and can be either short-term or long-term. The hospitals have limited ability to influence the behavior of the physicians, cost management, and the quality care.
2. Employed Physician Programs- the health systems and hospitals may sometime add private practices and pursue alignment. This program is good as it can control the cost of care and influence the clinical outcome, but they require significant amount of capital income for the recruitment and practice …show more content…
Clinical Integrated Network or Accountable Care Organizations (ACO)- this includes both employed and independent physicians who are aligned through clinical programs and some other value-based programs as the healthcare changed after the ACA implementation from volume-base care to value-based care. By these the hospitals and the physician networks and other healthcare providers clinically integrate so that they can negotiate with the managed care companies and health plans so that the quality of care can be improved and the efficiency of care can also be improved.
Apart from the physician alignment arrangement, they should also focus on the strategic planning and operating models and other integration initiatives. As without physician leadership the physician alignment and value-based healthcare is not possible as they go together and some steps must be taken to focus on the
1. Independent Physician Programs- this program usually involve developing of contracts with the physician groups. The hospitals develop and refine the programs to support and align with physicians who wish to be independent. These are flexible programs and can be either short-term or long-term. The hospitals have limited ability to influence the behavior of the physicians, cost management, and the quality care.
2. Employed Physician Programs- the health systems and hospitals may sometime add private practices and pursue alignment. This program is good as it can control the cost of care and influence the clinical outcome, but they require significant amount of capital income for the recruitment and practice …show more content…
Clinical Integrated Network or Accountable Care Organizations (ACO)- this includes both employed and independent physicians who are aligned through clinical programs and some other value-based programs as the healthcare changed after the ACA implementation from volume-base care to value-based care. By these the hospitals and the physician networks and other healthcare providers clinically integrate so that they can negotiate with the managed care companies and health plans so that the quality of care can be improved and the efficiency of care can also be improved.
Apart from the physician alignment arrangement, they should also focus on the strategic planning and operating models and other integration initiatives. As without physician leadership the physician alignment and value-based healthcare is not possible as they go together and some steps must be taken to focus on the