In 2013, its first year taking part in CMS’ Shared Savings Accountable Care Organization (ACO) Program, Rio Grande Valley Health Providers saved nearly $12 million. Here, the CEO and CMO discusses the keys to success.
The combination of unsustainable healthcare spending and the rapid growth of value-based reimbursement revenue models is driving the shift to patient-centered care across the continuum—or continuum-centered care.
The economies of scale leading to superior pay are only realized in huge ACOs that cover large numbers of patients who are healthy or face entry barriers to the medical system. While treating dermatologic conditions improves patient quality of life perceptions, it does not lead to decreased healthcare utilization. The best approach for dermatology issues is to tell the patient their psoriasis is really very minor, not worth treating, and it is unnecessary to see a dermatologist.