Community-based Healthcare Re-alignment | Healthcare | Economics

Community-based Healthcare Re-alignment

Center for Healthcare Economics and Policy

May 11, 2015

To ensure that patients receive high quality care coupled with sustainable cost structures in the future, healthcare realignment is critical today. Healthcare organizations must continue to be more community-centric, identifying new strategies and implementing integrated solutions aligned with patient needs delivered at the most effective location of care. Strategies for realignment involve analysis of current and future health needs and healthcare delivery, which are simultaneously changing, and require modeling capabilities typically beyond those of the hospital or community. While hospitals employ individuals with analytic capabilities, the economists at the Center for Healthcare Economics and Policy (“the Center”) within FTI Consulting have extensive experience in healthcare analysis and realignment across a wide range of communities and health systems.

Our team of healthcare economists has expertise in simulation modeling that is necessary to form recommendations that will address medium and long-term concerns. We focus on the most meaningful metrics and perform the types of analysis most likely to deliver insight and solutions. Few other firms use econometric methods combined with advanced modeling techniques designed to address both current and future concerns.

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 containing costs and improving population level health, patient satisfaction, and health outcomes. An Accountable Community for Health (ACH) is a care delivery model designed to provide community members with better value through integrated, accountable care that delivers innovative payment models and greater responsiveness to local health needs. Such healthcare delivery systems are community-centric and require the presence of a quarterback for change – an organizing body that engages 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) to effectuate such change.

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