Training Course Syllabus:
Risk Based Models: the Good, the Bad and the Ugly Webinar
Attend this webinar to keep pace with healthcare and the many variations. There are changes in reimbursement and it is important to understand the reason for the changes and what these changes mean for the various stakeholders.
Today´s hospitals and other healthcare providers who deliver traditional, fee-for-service medicine are in the midst of navigating significant changes in the way they conduct business and care for their patients. Competition among providers and increasing pressure from public and commercial payers to lower costs and improve care are driving them away from long-standing volume-based healthcare models, and toward so-called “value-based care” models. These models seek to more fully align payment and objective measures of clinical quality. Indeed, the only question most of today´s providers will face in the not-too-distant future-if not already-are not if they´ll be joining the value-based healthcare movement, but when and, beyond that, which particular care and risk model to join. The various models, several of which will be presented herein, fall along a continuum, with the resources and level of clinical and financial integration needed for a given provider to succeed steadily rising, along with a concurrent rise in risk and rewards for each type. Indeed, the payment models cannot be separated from changes in care delivery; thus, they require increasingly tight hospital-physician alignment, which can be achieved through physician employment, entering into service line co-management arrangements, clinical integration, or other methods.
Why Should you Attend:
Attend this presentation to learn:
- Changes from Fee for Service approach to a value based approach
- The impact on patient care
- Understanding of the Value –Based Spectrum
- The choice between Fee for Service and Value Based healthcare
- The understanding of the Value-Based Spectrum and all of the choices – Pay for Performance (P4P), Patient Centered Medical Home (PCMH), Clinical Integration, Shared Savings (one-sided risk), Bundled Payments, Shared Risk, Capitation (full-risk) and Provider Sponsored Health Plans (PSHPs)
- Understanding the Pros & Cons of Acquiring Payer-Like Capabilities
Objectives of the Presentation:
- Healthcare changes and plans to adapt to these changes by the stakeholders
- Understanding the objectives of Value Based Care
- The Incentive Hierarchy
- Hurdles when adopting a risk-based model
- CMS – where do they stand?
- Early lessons learned.