Governing Across the Continuum of Care & Cost of Care by Case
Health care organizations face a dual reimbursement world with fee-for-service revenue under increasing pressure, while the percentage of revenue from value-based payment models grows. This shift requires a detailed understanding of total cost of care by bundle and by DRG and the ability to use that information to make decisions – at the management level and at the board level – and align the organization around lower cost, higher quality care. This session introduces an innovative performance management model to identify true costs across the continuum of care and drive evidence-based decision-making.
Major steps to achieve a data-driven transformation to value-based care include:
Aligning the organization around a strategy, plan and metrics for succeeding in a value-based care environment
- Building a culture of accountability and evidence-based decision-making
- Utilizing technology to support complex business needs and enable informed decisions
- Implementing data-driven solutions across the continuum of care
These steps enable leaders to understand and improve the total cost of care across an increasingly complex continuum and allow organizations to optimally manage value and performance across the enterprise.