Perspectives

The health system as the general contractor

Positioning to grow with value-based care

Health care providers should consider charting a course toward value-based care adoption and the general contractor role. Shifting toward a general contractor structure requires enhancing clinical integration, achieving scale, and reengineering the core care delivery model. The time to prepare is now.

The health care provider market continues to shift toward value-based care (VBC) in an effort to tame escalating health care costs as well as to respond to regulatory initiatives and market changes. In addition to the Affordable Care Act (ACA), the push toward value includes increasing demand, new competitors, and new technologies. The focus on value may result in a fundamental shift in how health care is purchased and delivered, and may drive changes in how health care providers are organized.

As health systems adopt VBC, they should consider a new strategic role of “general contractor.” General contractors are providers who take on performance risk, invest in population health, and focus on both lowering cost of care and enhancing care coordination across the entire continuum. Organizations that adopt this role may be able to position themselves for improved market share and long-term relevance, but the move toward this structure requires enhancing clinical integration, achieving scale, and reengineering the core care delivery model.

This brief, informative piece is intended to help you:

  • Identify characteristics and benefits of the general contractor role
  • Determine how well positioned your organization is to move towards the role and actions to consider based upon your current market position 
  • Learn from case examples of leading providers who have adopted VBC and the general contractor role

While the pace of change remains unknown, the risk of moving too slowly is too great. Download the paper to begin preparing now.

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