ValueBased Healthcare and Payment Models: Including Frontline Strategies for 20 Clinical Subspecialties,Used

NEW GUIDE DECODES VALUEBASED CARE AND PAYMENT MODELSAs valuebased care is coming of age, deciding how to start can be an overwhelming task. Risks are high and success with the new models is challenging and time consuming. This book fills an important need by providing concrete and proven strategies to aid in an organization s successful transformation.The book is filled with practical, nononsense advice on the shift to valuebased care in both the private and public healthcare sectors. This is the time when healthcare stakeholders need to rethink their own addedvalue strategies in a manner that best serves patients and providers alike.In the complicated world of payment and delivery system reform, this book deconstructs the most challenging concepts for the novice yet provides sophisticated insights for even the most seasoned executive.BONUS! The authors also lay out highvalue strategies for 20 different subspecialties with specialtyspecific changes in the way medicine is practiced and paid for.From the ForewordWith this manual, leaders of health systems and medical groups can achieve these goals and align their physicians, management, care teams, payers, and patients to deliver exceptional care that will improve quality while lowering costs, resulting in better care, better patient experience, and more affordable health care. Jerry Penso, MD, MBA, President and Chief Executive Officer, AMGATable of ContentsChapter One: Introduction How Did We Get Here? The New Healthcare Is a Team Game The Move to Value Is Not Going Away Change Is HardChapter Two: Elements of ValueBased Healthcare Components of Delivery SystemsChapter Three: The Thorniest Problems Facing ACOs, and Solutions to These Challenges Challenge 1: Changing the Culture Challenge 2: Obtaining Actionable Data Through Technology Challenge 3: Integrating Care Models and Business ModelsChapter Four: A Deeper Dive into Building Sustainable ValueBased Care Assessing Organizational Readiness Characteristics of a HighPerforming Health System Culture and Systems Thinking Leadership Professionalism Strategy Innovation and Design Thinking Change Management Execution Implementing New Models of Care Population Health Clinical Model Design and Management Core Clinical Technology Infrastructure Financial and Network Management Integrated Data and Secure Information Exchange Patient Engagement Population and Clinical Risk Management Components of Patient Care Redesign Development of Care Models Information IntegrationChapter Five: ValueBased Payment Models Categories of Payment Models Payment Model Redesign Design Considerations in Valuebased Payment ModelsChapter Six: Optimizing Value Social Determinants of Health Strategic Partnerships Community Ecosystems and ReinvestmentChapter Seven: Frontline Strategies From Subspecialists Anesthesiologists Cardiologists Child Psychiatrists Dermatologists Emergency Medicine Physicians Gynecologists Hospitalists Nephrologists Neurologists Obstetricians Oncologists Pediatricians Primary Care Physicians Pulmonologists Radiologists Rheumatologists UrologistsChapter Eight: Conclusion