Medicare Payment and Reimbursement

5 actions leaders can implement for success

October 3, 2019 10:58 pm

To be successful with value-based contracts, healthcare leaders should take the following actions:

  1. Work from transformed practice models that use advanced care practitioners and care teams, with everyone at top of license.
  2. Reinvigorate the health system’s Annual Wellness Visit program and receive the triple benefit of engaging beneficiaries, receiving beneficiary assignment and capturing diagnoses and risk coding.
  3. Schedule an HCC self-performance audit and conduct a staff refresher course, assess the organization’s chart review program and understand how it is measuring HCC accuracy and its risk score. 
  4. Reduce total cost of care by using a population health platform to identify the health system’s top opportunities and prepare a strategy to address those costs on day one.
  5. Develop and implement three to five impactful initiatives to deploy for 2020, communicate about the initiatives broadly and stay the course for success. 

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