Community-Based Healthcare Re-Alignment | FTI Consulting

Community-Based Healthcare Re-Alignment

Center for Healthcare Economics and Policy

September 19, 2014

Strategies to Reconfigure Health Service Delivery

In today’s complex healthcare environment, healthcare organizations face unprecedented challenges. Providers, payers, and communities must deal with the twin challenges of rising healthcare costs and aging population. The advent of Accountable Communities for Health provide one of the most promising means for addressing these challenges while also improving population level health, patient satisfaction, and health outcomes, while containing costs. An Accountable Community for Health (ACH) is a care delivery model designed to provide community members with “better value in health care through integrated, accountable care using innovative payment models that are responsive to local health needs.” Such healthcare delivery systems are community-centric and require the presence of a quarterback for change – an organizing body that gathers stakeholders, develops strategies, sets milestones, assesses progress, and holds members accountable. To encourage these community-centric initiatives, both Federal and state governments are funding programs such as the State Innovation Models (SIM) and Delivery Service Reform Incentive Payment (DSRIP).

The Center for Healthcare Economics & Policy (the Center) is actively assisting organizations participating in these programs. The Center collaborates with local stakeholders to identify the drivers of high healthcare expenditures and costs and to effect strategies to assess and re-align capacity and healthcare needs, thereby improving access and reducing healthcare expenditures.

In the summer of 2014, the Center began working with the Niagara-Orleans Emerging PPS and its constituents in western New York to help coordinate the stakeholders, provide direction, and support the analytical work that will be required for this DSRIP project.


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About the Authors

Margaret E. Guerin-Calvert

Senior Managing Director – President, Center for Healthcare Economics and Policy

Susan H. Manning, Ph.D.

Senior Managing Director – Chief Operating Officer, Center for Healthcare Economics and Policy