If health care systems want to remain viable, they will have to move into downside risk, take control over delivery system reform, collaborate to receive the benefits of scale, and become population health experts – including prevention, wellness, chronic care management, and HCC coding.
SCALE FOR SUCCESS
The vast majority of ACOs will have to combine lives in order to reliably take downside risk for their population. Collaborative ACOs allow independent providers to fully participate in value-based payment while retaining their autonomy. This framework for population health focuses on wellness, prevention, and chronic care management while leaving clinical decision-making to the local clinicians. Collaborative ACOs can reduce the variability of shared savings and losses for both participants and payers, allowing providers to take risk without needless gambling. Caravan Health has an innovative governance, shared savings and accountability model that allows multiple, unaffiliated entities to collaborate and out-perform fee-for-service.