Sound strategies and a disciplined approach lead to competitive strength and financial viability.
CMS is on a path for 30 percent of Medicare payments to be made in alternative payment models (non-fee-for-service architecture) by the end of 2016. The percentage increases to 50 percent by the end of 2018. CMS is also targeting 90 percent of Medicare fee-for-service payments to be in certain value-based categories by 2018. Commercial payors are also implementing value-based payment architectures. While the exact timing to achieve the payment policy targets can vary, the intent and direction of the strategies appears firm.
2016 will require providers to reduce the cost of care, improving, measuring and, demonstrating quality and, implementing organizational capabilities to successfully negotiate and manage an increasingly greater proportion of value oriented (risk) contracts. Providers’ success in establishing a strong value position will require bold, strategic, well calculated decisions.
The Arvina Group, LLC, is a national healthcare management services firm located in Ann Arbor, Michigan serving the diverse needs of healthcare organizations nationally. Our practice's professional services and expertise include:
Clinical Program Business Development, Enterprise-Wide Integration and, Value-Oriented Positioning.