PYA s latest white paper, Clinically Integrated Networks: Who, What, When, Where, Why, and How? sums up healthcare reform in ten simple words from no output, no income to no outcome, no income. The guidance demonstrates how a clinically integrated network provides the structure to develop and support the interdependence required to meet future demands of value-based payment systems, where providers will be rewarded for quality and efficiency achieved through collaborative care.
The document breaks down the journey of clinical integration and answers these and other frequently asked questions:
- What is a clinically integrated network ( CIN )?
- How is it lawful for a CIN to collectively negotiate with payors when the Federal Trade Commission ( FTC ) is actively investigating and prosecuting providers for collusion?
- Why has interest in CINs grown so rapidly in the last several months?
- How is a CIN different from an Accountable Care Organization ( ACO )?
- How do the fraud and abuse laws impact a CIN?
- What is the Medicare Shared Savings Program ( MSSP )?
- How do pay-for-performance contracts and shared-savings programs work?
- Have other CINs been successful in improving quality and efficiency in healthcare delivery while protecting physician incomes?
- What types of protocols have other CINs adopted?
- How are CIN decisions made? How are the interests of a hospital balanced against those of physicians?
- What types of services do CINs offer to physician members?
- How are CINs operations funded?
- Do CINs typically restrict membership opportunities for physicians?
- How do physicians join a CIN? What will be expected of physicians as CIN members?
View the CIN white paper here or for more information contact the experts listed below at PYA, (800) 270-9629.
