Why Hospitals Need a Population Health Strategy
Why Hospitals Need a Population Health Strategy Kelly Emrick MBA, Ph.D. September 30, 2023 The Center for Medicare and Medicaid Innovation (CMMI) has set a goal of having every Medicare beneficiary and the majority of Medicaid beneficiaries covered by some type of alternative payment model (APM) by 2030. CMMI considers APMs to be any arrangements whereby providers are held accountable for the quality and costs of care, not just paid based on the volume of services they deliver. The agency also pledged to promote health equity by making it easier for providers serving racial and ethnic minorities to participate in APMs. Government and private payers emphasizing accountability and value-based purchasing are rapidly replacing the traditional fee-for-service model. What does this mean? This means that delivering services will no longer guarantee payment. Every provider must track patient outcomes for provider-specific population cohorts, and healthcare providers face new financial risks.