Value-based payment fuelling demand for financial solutions


Financial solutions are among the highest infrastructure priorities as identified by 95 percent of ACO and provider-based health plan executive.

This is according to a recently published Black Book survey of over 200 ACOs and 1000 provider organizations.  

However, only 19 percent of operational ACOs and 8 percent of hospitals and physician groups sitting on the ACO sidelines believe they have the adequate installation of financial technology, outsourced services and consulting to be successful in the long term.

"Despite the growth in ACO contracts with payers, few ACO participants have access to reliable claims data and trouble taking consistent clinical quality data from electronic health systems due to interoperability challenges," said Doug Brown, president of Black Book Market Research. 

"The majority (64 percent) of the healthcare provider industry responding to this survey is not moving with haste toward the objective of building a reimbursement model that features value-based payments."

Some 59 percent of CFOs confirm they are caught between revenue management services that fast-track the inflow of cash to sustain present fee-for-service reimbursement, and selecting ACO strategic solutions to assemble the groundwork to succeed with imminent risk-bearing payment models (down from 78 percent last year).

"Large ACO's have the capital and provider base to strategically select vendors who can deliver end-to-end financial services and software now, ahead of tackling population health, clinical integration and business intelligence tools into the technology amalgam," said Doug Brown, president of Black Book. 

Black Book Market Research, US, ACOs, Doug Brown