Conclusion
Effective quality programs consistently have three key attributes:
1) Alignment of incentives and objectives with all stakeholders, ensuring that everyone is working toward the same outcomes
2) Integration of risk, quality and care programs – This removes silos between risk and quality programs to gain efficiently, as well as an integrated view of the population and outcomes
3) Deploys a holistic technology platform – This allows for continuous data exchange and the ability to deliver actionable information to the point of service.
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This advanced approach has the potential to change the way health care works. In fact, a growing number of successful health plans and risk-bearing entities are adopting this strategy because the need for effective risk, quality and care programs has never been greater.
About the Author: Jay Baker is senior vice president, Quality and Risk Adjustment Solutions, Advantmed LLC
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