A paradigm shift is required

 

For most healthcare providers to thrive, or even survive, in the rapidly evolving Value Based Medicine world, there must be a change in their relationships and role within the delivery system. Delivery models involving Clinical Integration, Population Health Management, Bundled Payments, and Risk Contracts are at the doorstep. Londyn Healthcare Alliance will partner with our clients to advance the initiatives required for this mission critical transition.


Traditionally, the medical staff operates apart from the hospital in such a way that the physician community views the hospital and staff as resources for services not available at their office; and the hospital sees the doctors as their sole source of revenue because no service can be delivered in a hospital without a physician order.

Doctors must now become leaders

Although these lines have been blurred recently as more and more doctors have moved out of their independent practice and become hospital employees, the real change is still to come when the Fee for Service (FFS) reimbursement model is replaced by Value Based Reimbursement (VBR).

It will be important that physicians step into leadership roles and work alongside the other stakeholders (including hospitals, ancillary providers, employers, patients, healthcare payers, and the community) as the VBR model is defined and implemented, and clinical integration strategies are developed in local communities across the country. This Collaboration with their traditional “Supply Chain” is a new concept all stakeholders must embrace. This is critical from a patient safety and quality standpoint as well as the financial perspective.

 

With the imminent transition to value based reimbursement for healthcare services,

leadership in the healthcare delivery space will require more courage than ever.  This

paradigm shift will require players who have been semi-autonomous historically to come

to the table and collaborate like never before. This will require hardnosed dialog and

unwavering commitment to building and executing in new delivery systems where all

stakeholders are bought-in and will thrive in the overall success of the system. The

winners in this evolution will be those who are prepared to roll up their sleeves, and let

their guard down in the interest of finding solutions for fundamentally changing the way

healthcare is delivered and compensated in the United States. Courageous leaders are

needed in every area.