It has been established that executives in the healthcare industry have their hands full with challenges and tasks now that 2018 has arrived. This is mainly due to the fact that all of the 2017-based issues are continuing to burden the healthcare industry.
As a result, providers are now in an experimental approach in providing non-traditional care in an effort to lower costs and improve the overall care that patients receive.
The domino effect is that now those same providers are having to shift their focus back on the investments that have been made to aid in the successful transition to value-based care.
According to many, the main concern for 2018 is that the administration of Donald Trump does not exhibit a high level of commitment to the move from the traditional fee-for-service. This is based on the recent request from the federal government for feedback on the payment models that were utilized in the value-based network system. While complications are expected, the experts in the industry have stated that providers must place a special emphasis on efforts to lower healthcare costs and improving the outcomes of their patients.
Recently, there was a cancellation of the bundled payment program for Medicare by the Centers for Medicare & Medicaid Services. In addition to this cancellation, an expansion has been put into place for participation exemptions under the MACRA. Now, providers are starting to engage in the process of reevaluating the investments that they have made and will have to decide to make, as it relates to programs surrounding value-based care networks.
Executives in the healthcare industry have devoted a lot of time, effort, and resources on value-based care networks. They do not want to abandon it altogether, but they do want to experience a sound return on their investments.
Incentives and Optimal Care Remain a Priority
Healthcare executives want to coordinate care to ensure that patients have optimal outcomes, based on their individual needs. They want the care that they provide to be appropriately aligned with incentives based on the value-based care network models that currently abound, especially the alternative payment models. Examples of these include bundled payments, shared savings, ACOs, and networks that are clinically-integrated.
Primary Care Model Success
To date, all of the investments into value-based care have resulted in success in terms of the advanced-level primary care models, as well as the programs that are designed for those patients that are chronically ill and considered to be high risk, in terms of their health.
Professionals are now encouraging healthcare executives to take the experience that they have been allotted so that they may transition to programs that will be effective for patients. An example of such a program is the Medicare Advantage program. Also, executives should encourage less usage of emergency rooms. As a physical therapist, your practice should focus on the same goals.
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