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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;
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Industry developments prompting renewed interest in PHOs;
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The PHO as a stepping stone to clinical integration and accountable care;
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5 factors positioning the retooled PHO model for success in a value-based climate;
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9 key questions to answer when considering PHO development;
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6 opportunities to leverage the PHO model;
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Tactics to engage healthcare providers in the PHO;
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Predictions for the future of PHOs, including the role of post-acute care in accountable care delivery;
and much more.
Table of Contents
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PHO Development for ACOs, Bundled Payments and Direct Contracting
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Common Characteristics of PHOs
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Factors Driving Resurgence in PHO Activity
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Clinical Integration Strategy
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4 Value-Based Payment Models
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Relevance of PHOs in Today's Healthcare Market
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A Dozen PHO Competencies
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PHO Consideration 1: Market Assessment
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PHO Consideration 2: Ability to Deliver Services
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PHO Consideration 3: Effective Legal Agreement
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PHO Consideration 4: Governing Structure
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PHO Consideration 5: Physician Composition
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PHO Consideration 6: Internal Capabilities
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Predicting the Future of the PHO Model
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Q&A: Ask the Experts
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Accountability of Post-Acute Care in a PHO Network
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Inclusive Versus Exclusive Approaches to PHO Physician Membership
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Defining Super PHOs
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Key PHO Performance Metrics
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PHO Clinical Leadership
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Fostering Clinical Leadership in PHOs
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Challenges of PHO Development
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Glossary
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For More Information
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About the Contributor
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