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Physician-Hospital Organizations: Framework for Clinical Integration and Value-Based Reimbursement
Physician-Hospital Organizations: Framework for Clinical Integration and Value-Based Reimbursement
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Like the convenience of an instant PDF download, but still want a hard copy of this book? Order both and save 35 percent!

The rapid evolution of healthcare payment reform requires a sea change of both hospital and physician behavior. As healthcare providers are held more accountable for the quality and cost of care delivered, the physician-hospital organization (PHO) provides an efficient framework for collaboration and resource consolidation.

Physician-Hospital Organizations: Framework for Clinical Integration and Value-Based Reimbursement describes the relevance of the PHO model to today's healthcare market, offering strategies to leverage the physician-hospital organization for maximum clinical outcomes, competencies and value-based reimbursement.

In this 25-page resource, Travis Ansel, senior manager with the Healthcare Strategy Group, outlines the structure of the retooled PHO, factors driving a PHO resurgence, and considerations for development and launch of a profitable physician-hospital organization.

This special report provides details on the following:

  • Organizational landscape of today's PHO model;
  • Industry developments prompting renewed interest in PHOs;
  • The PHO as a stepping stone to clinical integration and accountable care;
  • 5 factors positioning the retooled PHO model for success in a value-based climate;
  • 9 key questions to answer when considering PHO development;
  • 6 opportunities to leverage the PHO model;
  • Tactics to engage healthcare providers in the PHO;
  • Predictions for the future of PHOs, including the role of post-acute care in accountable care delivery;
and much more.

Table of Contents

  • PHO Development for ACOs, Bundled Payments and Direct Contracting
    • Common Characteristics of PHOs
    • Factors Driving Resurgence in PHO Activity
    • Clinical Integration Strategy
    • 4 Value-Based Payment Models
    • Relevance of PHOs in Today's Healthcare Market
    • A Dozen PHO Competencies
    • PHO Consideration 1: Market Assessment
    • PHO Consideration 2: Ability to Deliver Services
    • PHO Consideration 3: Effective Legal Agreement
    • PHO Consideration 4: Governing Structure
    • PHO Consideration 5: Physician Composition
    • PHO Consideration 6: Internal Capabilities
    • Predicting the Future of the PHO Model
  • Q&A: Ask the Experts
    • Accountability of Post-Acute Care in a PHO Network
    • Inclusive Versus Exclusive Approaches to PHO Physician Membership
    • Defining Super PHOs
    • Key PHO Performance Metrics
    • PHO Clinical Leadership
    • Fostering Clinical Leadership in PHOs
    • Challenges of PHO Development
  • Glossary
  • For More Information
  • About the Contributor
Publication Date: June 2015
Number of Pages: 25
ISBN 10: 1-941329-74-8 (Print version); 1-941329-75-6 (PDF version)
ISBN 13: 978-1-941329-74-0 (Print version); 978-1-941329-75-7 (PDF version)
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