Health Systems Seen Needing New Strategies to Reorganize Delivery Models

To succeed in this new post-health reform arena, Health systems should prioritize information technology infrastructure development, information sharing, and timely distribution of information to ensure outstanding patient care, prepare for a patient-centered medical home and bundled payment system, and move toward best practice levels of care coordination, according to Health Strategies & Solutions, a Philadelphia-based consulting firm.

“The Supreme Court decision to uphold the major provisions of the ACA launches a new era in health care in the United States. Development of a robust foundation of primary care services must move to the forefront of strategic priorities for all health care providers,” the firm, with offices in a number of states, says in a white paper.

According to the firm’s white paper “Primary Care In An Era of Healthcare Reform” health care organizations that  remain focusing on traditional approaches to delivering primary care and “partnering with their primary care physicians will be left behind, while those willing to be path breakers, innovators, and alignment partners with PCPs will set new standards for primary care in a reformed environment.”

One of the critical challenges to creating a new primary care infrastructure is “determining who will provide the care within the centerpiece of the new patient care delivery system,” the firm says.

Health care organizations face a twofold challenge, the firm says: “increase the base of primary care providers aligned with a hospital or health care delivery system and support the evolving role of PCPs from caregivers to care coordinators and managers with new multifaceted responsibilities.”

Among the imperatives health system leadership faces are:

  • Managing risk payments
  • Achieving performance improvement and financial viability for employed PCPs
  • Determining primary care network size, mix and geographic distribution
  • Implementing primary care recruitment and retention strategies in highly competitive markets
  • Reorganizing primary care delivery models to manage care
  • And, selecting PCP-hospital alignment models and approaches

HS&S believes that the “key initiatives in the post-reform environment will be to:

  • Grow primary care services in geographic distributed networks
  • Partner with payors to share risk and reward under new models of primary care delivery
  • Develop new models of accountable care in which population health, patient empowerment, and care management, not utilization, are the hallmarks of success

To review the report visit:

Address: Health Strategies & Solutions, Inc, 8 Penn Center – 1628 John F. Kennedy Blvd., Suite 500, Philadelphia, PA 19103

The National Directory of Health Systems, Hospitals and Their Affiliates Database provides profile and contact information ons some 741 health systems around the country and some 12,000 health system affiliates.

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