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Cost control has been one of the central objectives of Value-Based Care. Providers in ACOs and other APMs are participating in a variety of payment models with a cost control objective that is sometimes seen as secondary to other objectives. Under the upcoming politics of less government and less regulation, however, cost performance will be critical. Continued escalation in health care costs and an expanding share of the federal budget is not a viable strategy for the future.
In this webinar we’ll look at a variety of ACO actions and decisions that have the potential to negatively impact cost even if, from a different standpoint, they appeared to be sound decisions. We’ll also examine tools for cost control that your ACO has adopted or avoided.
Learning Objectives:
- Different value-based payment models and how they incorporate cost conditions/ where they are likely to go.
- What ACO decisions impact cost? We’ll review a variety of issues that have a strong effect on the total costs of patient care that get included in your reconciliation:
- Your participating provider network.
- Your decision to negotiate commercial insurance contracts on behalf of providers.
- Ownership of MA plans or contracts with MA.
- Your chosen method of APP Reporting of quality measures.
- Extent of data aggregation.
- EHRs and other systems in use by providers.
- Your payer mixes across practices.
- Acquiring the tools you need for cost management.
- Engaging clinicians in cost management.
Learn how to help your ACO manage the total cost of care to retain viability.
Speaker: Theresa Hush, CEO, Roji Health Intelligence LLC