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Traditional provider revenue streams remain compressed due to an unhealthy mixture of declining reimbursements and rising expenses. As a result, many hospitals and health systems are looking at new strategies, including assuming risk through attributed patient populations, to fuel growth. Is your organization ready to manage this new revenue stream?
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Organizations that rely exclusively on hard numbers to measure ACO success don’t see the complete picture. The winning formula for one health system — that operates ACOs covering nearly 1 million patients in 80 percent of its markets — includes improving quality, increasing collaboration and establishing innovative relationships.
To manage the process for taking on risk, one community hospital contracted with Conifer Health to manage the risk pool and operate the utilization management and claims adjudication functions for the risk-bearing organization. Through Conifer Health’s ongoing management, the hospital has improved cash flow, significantly reduced outstanding accounts receivable (A/R), and increased opportunities to get paid upfront for services.