Physician-Hospital Organizations: Framework for Clinical Integration and Value-Based Reimbursement

9781941329740: Physician-Hospital Organizations: Framework for Clinical Integration and Value-Based Reimbursement

The rapid evolution of healthcare payment reform requires a sea change of both hospital and physician behavior. As healthcare providers are held more accountable for the quality and cost of care delivered, the physician-hospital organization (PHO) provides an efficient model for collaboration and resource consolidation. Nearly one-third of existing accountable care organizations (ACOs) are administered by physician-hospital organizations (PHOs), according to ACO benchmarks compiled by the Healthcare Intelligence Network in 2013. Physician-Hospital Organizations: Framework for Clinical Integration and Value-Based Reimbursement describes the relevance of the PHO model to today's healthcare market, offering strategies to leverage the physician-hospital organization for maximum clinical outcomes, competencies and value-based reimbursement. In this 20-page resource, Travis Ansel, senior manager with the Healthcare Strategy Group, outlines the structure of 2015's retooled PHO, factors driving a PHO resurgence, and considerations for development and launch of a profitable physician-hospital organization. This special report provides details on the following: *Organizational landscape of today's PHO model; *Industry developments prompting renewed interest in PHOs; *The PHO as a stepping stone to clinical integration and accountable care; *5 factors positioning the retooled PHO model for success in a value-based climate; *9 key questions to answer when considering PHO development; *6 opportunities to leverage the PHO model; *Engaging healthcare providers in the PHO; *Predictions for the future of PHOs; and much more. **Table of Contents *PHO Development for ACOs, Bundled Payments and Direct Contracting *Common Characteristics of PHOs *Factors Driving Resurgence in PHO Activity *Clinical Integration Strategy *4 Value-Based Payment Models *Relevance of PHOs in Today's Healthcare Market *PHO Competencies *PHO Development Consideration *1: Market Assessment PHO Development Consideration *2: Ability to Deliver Services PHO Development Consideration *3: Effective Legal Agreement PHO Development Consideration *4: Governing Structure PHO Development Consideration *5: Physician Composition PHO Development Consideration *6: Internal Capabilities *Predicting the Future of the PHO Model *Q&A: Ask the Experts *Importance of Post-Acute Care in a PHO Network *Inclusive Versus Exclusive Approaches to Physician Inclusion *Super PHOs *Key PHO Performance Metrics *PHO Clinical Leadership *Fostering Clinical Leadership in PHOs *Challenges of PHO Development *Glossary *For More Information *About the Presenter

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