In 2014, physicians will continue to be co-managers, actively engaging in the hospital and overseeing patient experience, quality of care and cost reduction, predicted Steven Valentine, president, The Camden Group, during a Healthcare 2014 strategic planning session.
In looking at where organizations are going, we need to get to what would resemble a Kaiser-type plan, or maybe some of the health systems you see around the country that have an integrated delivery network — a health plan-physician piece and then delivery sites, a full continuum of care.
Many have started with the medical home, or put bundled payments in place. They might have specialty co-management agreements, but we are moving away from centers of excellence and specialty institutes to integrated delivery networks. There are also medical foundations, physician employment, rural health clinics and FQHCs that are the physician link that many health systems have tried to tie into their delivery system so they can better manage care.
One of those models is co-management, which we are bullish on and should continue to grow in 2014. It will really be in support of a lot of the bundled payments. This is actively engaging the physicians in helping co-manage this service. Patient experience, quality of care and cost reduction are the buckets that are necessary and mandated legally to put these co-management agreements in place. We like the co-management agreements; we like the doctors being very engaged here; we like that it’s specialists who are engaged here.
And just by way of where there’s growth: there is phenomenal growth in medical homes. We see how fast the PCMHs are growing and the numbers of sites. We’re very bullish on the PCMH; it can be effective, and in our experience has been in many cases able to reduce admissions from 5 to 7 percent. We do think PCMHs are better off within groups (or hubs or pods, as we talked about). They don’t work as well with individual doctors who are scattered about, with rotating case managers who are embedded.
Healthcare Trends & Forecasts in 2014: Performance Expectations for the Healthcare Industry shares industry insights from two healthcare leaders, and provides a handle on what’s keeping healthcare CEOs up at night and a dream prescription for sounder program management in 2014.