Navigant's Dennis Butts via FierceHealthcare
ACO, MACRA, CJR, and CIN, are just some of the acronyms now common in the vernacular of hospital and health system executives nationwide. Ushered in by an era of healthcare reform, these terms have many similarities with regard to their structures, and not just linguistically.
They're all built on the concept of clinical integration — collaboration among physicians, hospitals, and post-acute care providers to improve value across the continuum of care. Think of clinical integration like your car’s chassis: a framework bringing together the different functions and stakeholders that allow providers to travel from volume to value. Forces like the Medicare Access and CHIP Reauthorization Act (MACRA) are accelerating the adoption of alternative payment models (APMs), including shared savings, Medicare’s Comprehensive Care for Joint Replacement (CJR) bundled payment initiative, and other episodic payments.
But here’s the rub: Some providers approach clinical integration as a noun. They simply develop or join an accountable care organization (ACO) or clinically integrated network (CIN), and they’ve reached their destination. In reality, these value-based initiatives will remain in park unless providers consider clinical integration a verb, focusing on actions that drive the transition to value.