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Payment reform, accountable care, and risk: early lessons for providers
1Navigant Consulting Inc., Chicago, Illinois, USA. mnugent@navigantconsulting.com
Abstract:
Several organizations have begun to design and even implement accountable care organization (ACO), payment reform, and risk sharing pilots. Here are some early lessons: Providers should not design and implement ACOs, payment pilots, and risk models in a vacuum. Providers should tackle five core decision areas that underlie all ACOs, payment pilots, and risk arrangements. Providers should invest in analytics to inform tactical and strategic decisions simultaneously. Successful organizations implement pilot programs before going into full production mode.
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