HFMA April 1, 2016
William Ringwood and Tawnya Bosko

WHEN ASSUMING FINANCIAL RISK FOR HEALTHCARE DELIVERY, A PROVIDER HAS MANY OPTIONS TO CHOOSE FROM AND A BROAD RANGE OF INTERNAL AND MARKET-BASED FACTORS TO CONSIDER TO BE ABLE TO CHOOSE THE RIGHT OPTION FOR ITS SPECIFIC CIRCUMSTANCES.

An unprecedented shift of financial risk from payers to providers is occurring within the healthcare delivery system as a result of reform efforts. Healthcare providers have many important strategic decisions to make in preparation for this shift that will have a profound impact on their future success. Foremost among these decisions is choosing from the broad range of risk options available to providers, including quality incentive and penalty programs, Medicare accountable care organization (ACO) models with various degrees of risk and requirements,...

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Topics: ACA (Affordable Care Act), ACO (Accountable Care), CMS, Health System / Hospital, Medicare, Patient / Consumer, Payer, Physician, Population Health Mgmt, Primary care, Provider, RCM (Revenue Cycle Mgmt), Value Based
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