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March 6, 2018
Business & Industry Insights
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On this episode of A&M Conversation With, Managing Director Dr. David Gruber sits down with Managing Director Jay Burkett to discuss the essentials of risk management. 

Part V - Provider Survival Strategies: Payment Reform Risk Management

The transition from fee-for-service to value fundamentally alters the risk profile of a provider. A&M has generated the concept of a provider hybrid, defined as “a provider with the risk management understanding similar to payers, but without the depth of investment, capabilities and regulatory approvals necessary to actually create a joint venture or sponsor a health plan.” 

In this article, the essentials of risk management including identification, assessment, prioritization and control are defined. We also discuss expense management (managing demand, limiting the volume of services and steerage), managing care to best outcomes, contracting, network creation and capital requirements. Risk management is becoming essential to future provider success.

Click to read the Part I article here

Click to read the Part II article here

Click here to read the Part III article here

Click here to read the Part IV article here

 

A&M Conversation With: How Critical is Patient Engagement?

Patient engagement is critical, as behavioral (lifestyle) and social circumstances represent 40 percent and 15 percent, respectively, of the contributors to premature death. Patient engagement requires self-management and supportive provider and/or payer interventions.