Value Based Payment

Summary checklist for assessing readiness for value-based care

May 19, 2019 10:22 pm
  • Do we have a broadly understood multi-year payer strategy to guide specific contacting work? 
  • Have we realistically assessed our organization’s clinical and financial risk readiness capabilities? 
  • Will we have sufficient scale and volume of business to motivate a change in physician practice patterns from relative-value units to value-based practice? 
  • Do we have a well-articulated road map for developing our clinical risk- management capability?
  • Do our decision-making processes and organizational structure align with our payer strategy? 
  • Are our internal and external data being leveraged effectively in all key decision-making? 
  • Does our organizational culture encourage individuals to set stretch goals and provide the sustained support needed to achieve our goals? 
  • Do we have the appropriate contract terms in place to protect our organization as we transition to greater levels of downside risk?

See related article: Assembling the essentials for successful population health management

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