Ten Critical Focus Areas for Navigating the Shift from Fee-for-Service to Value-Based Care
Data Analytics and Management:
Utilize data to make strategic decisions and improve operations.
Quality Measurement and Improvement:
Continuously enhance care quality using metrics and feedback.
Financial Management and Risk Analysis:
Develop strategies to manage financial performance and risks.
Care Coordination and Retention:
Create seamless care pathways and keep patients engaged.
Patient Access, Engagement, and Education:
Improve patient access to care and provide education to support their health.
Population Health Management:
Implement strategies to improve community health through prevention and chronic disease management.
Medicare Advantage and Medicaid Capabilities:
Focus on risk coding, Stars optimization, and adapting to state Medicaid changes.
Regulatory Compliance and Effective Contract Management:
Proactively manage compliance and contracts to navigate the regulatory landscape.
Technology, Infrastructure, and Partnership Development:
Invest in health IT systems and form strategic partnerships.
Leadership and Change Management:
Strong leadership and effective change management are essential for transitioning to value-based care.
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