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Is your organization operationally ready to be a Medicare PSO?
1Jennings Ryan and Kolb, Jacksonville, FL, USA.
Abstract:
Providers that wish to form a provider-sponsored organization to contract directly with Medicare need to assess their operational capabilities to determine whether such a plan can be successful. Areas that need to be examined include administrative and financial expertise, contract management capabilities, clinical and administrative medical management, information management, and continuum of care components. While many of the operational capabilities required to operate a PSO may be appropriately provided by an unrelated third party, some capabilities can be delivered most effectively by the PSO itself.