PCMH SUSTAINABILITY BEST PRACTICES TOOLKIT

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For your practice to be sustainable, you must focus on establishing a consistent financial base. This is a strategic process that addresses your long-term needs and adjusts to changing trends, economic and political cycles, and investment highs and lows. Programs with diverse funding sources are less vulnerable to fluctuations when funding changes occur.

 

Under the typical fee-for-service (FFS) payment model, providers and practices are rewarded for volume (e.g., number of visits or procedures). However, payers who are interested in overall healthcare cost savings are finding ways to reward value (e.g., improved health outcomes).

 

Practices that adopt the PCMH Model of Care are well-positioned to benefit from accountable care organizations (ACOs) and other care delivery models that pay providers and facilities based on patient outcomes. Practices that meet the requirements of these programs may be able to increase their revenue. Even practices not eligible for enhanced PCMH payment or incentives may be able to increase their revenue by improving efficiency.

Stop 8: Financial Viability

What is Financial Viability?

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