|Articles|April 1, 2015

Value-based care: Six steps to prepare

Are you ready for value-based compensation? If not, these 6 steps can help you prepare.

Are you ready for value-based compensation? If not, these 6 steps can help you prepare.

1. Be in the know

It’s vital that urologists turn their attention to what’s going on with health care payment models at state and federal levels, according to Jeffrey Frankel, MD, of the American Association of Clinical Urologists.

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 “Look at all these proposals. It’s critical that urologists know what their local healthcare systems are planning. They have to stay abreast of the accountable care organizations in their areas. They have to look at insurance programs. They have to pay attention to health policies,” he said.

2. Look at how your practice fits into the big picture and work at becoming a better fit.

High-cost practices will become outliers in the new paradigm, experts say.

Urologists should understand how they fit into the local landscape of care, regarding value and cost, and make changes where needed to better position themselves for contracts.

“I think we’re in a window right now,” said Doral Jacobsen of DHG Healthcare in Asheville, NC. “Make sure when you’re renegotiating your contracts that you’re asking your payers to start paying you for value; otherwise, that window is going to close. So, for example, fast-forward 3 years: If you’ve already been incentivized to manage your pharmacy costs very aggressively, there’s not going to be a big spread there. We’re already doing these things for Medicare; why not expand that to the commercial payer market?”

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