Projected cost variances for selected over-running capital infrastructure projects
Note: Percentage variances between market-advised cost projections and original estimates for selected capital infrastructure projects
Source: Publicly available material and Ernst & Young analysis
Have you revisited your organization’s mission to assess its relevance in today’s era of accountable, collaborative and value-driven care?
With the passage of the Patient Protection and Affordable Care Act (PPACA) of 2010, US health care started on the long road to payment and system delivery reform.
PPACA continues to transform
Even if some of the details of PPACA change as a result of the continuing public debate, policy makers are expected to continue to focus on the potential to reduce costs through the law’s delivery reforms — from value-based purchasing and bundled payments to comparative effectiveness and accountable care organizations (ACOs).
To prosper on the next horizon, provider care organizations will need to stay in step with a system in transformation — creating new delivery structures, forming organizational alliances and taking risks for finances and outcomes.
Considerations for your board and executive leaders
Mission strategy and budget: Have you revisited your organization’s mission to assess its relevance in today’s era of accountable, collaborative and value-driven care?
Legislation tracking: Is someone in your organization responsible for following federal legislation, as well as the activities and reports of federal commissions charged with seeking opportunities to reduce federal health spending? Does this individual report regularly on proposals that may radically change the way your organization will be funded in the future?
Pilot projects: Are you currently participating in, or planning to participate in, any of the value-based payment pilot projects funded by PPACA?
Education: Have you provided your medical staff with education on the many aspects of health care reform — and invited their participation in all efforts to drive cost-cutting measures, enhance quality metrics and coordinate care with other community providers?
Community needs assessment: Have you developed plans to conduct a community needs assessment and assigned appropriate individuals to evaluate results, as well as developed specific plans for how you will address identified community needs?
Board leadership: Have you assessed the contribution board members can make in moving forward toward a more value-based, collaborative future, leveraging their collective skills in business management, negotiations and community outreach to help position your organization for a more integrated health care environment?
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