Transition to Value-Based Reimbursement and Improve Quality of Care
As the market shifts from fee-for-service to value-based healthcare and reimbursement, hospitals, health systems, practices and insurers alike face many challenges. The increase in alternative payment models that tie reimbursement to quality is shifting more risk to providers. Likewise, government and commercial insurance programs are seeking to reduce medical loss ratios and achieve better outcomes at a lower cost.
The plan to transition to value-based reimbursement will be different for each healthcare stakeholder. From working with risk-based contracts, to developing new care models and physician networks, to implementing shared savings programs or management services organizations, or to building accountable care organizations (ACOs) and PCMH models, every healthcare organization is in the process of defining their unique, value-based initiatives and strategies in order to be successful.
Transformation Planning and Strategic Management
McKesson helps organizations select the best path to value-based healthcare while building a transition plan to control patient care costs, improve outcomes and boost margin growth. McKesson offers the strategy, infrastructure and technology necessary to improve financial performance and identify patients who will benefit the most within an accountable care environment.
Starting with a Transformation Assessment, McKesson will assess how you can enhance profits and improve outcomes through current payment arrangements and future risk-sharing models. We help you create a durable economic model based on where you are today and where you want to be tomorrow in terms of market position, payer trends, physician engagement, patient share and other market factors unique to your organization.
McKesson's Strategic Management will help you build the administrative and operational infrastructure and ground work required to help you transform your organization. Our experienced executive leaders help you develop your organization's strategy and operational approach to accountable care, negotiate payer and provider contracts, develop innovative payment models and manage the new complexities of value-based medical claim management. We also provide personnel experienced in managing and analyzing data related to value-based payment models and providing timely and applicable reporting to the network’s leadership.
Network Development, Practice Transformation and Care Coordination
With Network Development , McKesson can help you identify, integrate and develop a network of primary care and specialty physicians along with high-quality, low-cost facilities to participate in a streamlined care delivery model. Physicians are evaluated in terms of clinical quality, service quality and utilization management. McKesson can help your organization with market development, recruitment, credentialing and onboarding of those clinicians tasked with delivering coordinated, accountable care. Practice Transformation includes onsite practice assessment, coaching and quality improvement, PCMH model development and application, ACO development and application, and many other services needed to help transform your organization into a viable and sustainable care delivery model.
Care Coordination is a critical component of population health management and healthcare risk management. Care coordination is less about automation and time savings and more about prioritization, guidance, collaboration and communication. McKesson's Care Coordination services will help your organization achieve clinical success by tracking and communicating patient care, protocols and progress across the care continuum.
McKesson has more than 15 years of shared risk experience working with payers and providers alike and has managed over 200,000 commercial, Medicare and Medicaid managed care patients. Regardless of where you are on your journey, our experts will help you and your organization control costs and optimize revenues today while mapping out a clear path to success under value-based care in the future.