As part of the transition to a value-based healthcare system, providers are increasingly coming to terms with the concept of downside risk. In new value-based models, when the cost of care exceeds a fixed payment, the provider must absorb all or part of the difference. Navigating the financial implications of this risk exposure requires a massive overhaul in how providers manage day-to-day operations.
This eBook outlines three key building blocks for managing this change based on interviews with healthcare industry stakeholders who are navigating the challenges of sharing risk.
- Managing the cultural change for physicians
- Involving clinical care management staff in risk management
- Developing an IT infrastructure for risk reporting