![]() That is something that physicians remain reluctant to do. If the answer to either of those questions is "no," then they are looking at a big change. To be in a VBC model, they will have to join with other physicians. That will involve some loss of autonomy no matter what the model. So, a small PCP group may be offered a VBC contract by an insurer but they need to consult with an actuary to first see if they have enough lives to take on any “downside” risk. Generally, the more downside risk you are willing to take, the greater the upside opportunity is as well. Then the group has to determine, even if they have the right number of covered lives, do they have the ability to manage the care of those patients successfully throughout the whole continuum. Then there are subtle factors like the homogeneity of populations. Obviously, patients of similar geography and socioeconomic status are easier to manage for smaller groups. ![]() HL: Are doctors and hospitals reluctant to adopt VBC?ĭe la Torre: Change is a big deal. And VBC models are a big change that requires a big scale to support the TME risk and the cost of the infrastructure. It takes many PCPs to get an ACO going. Or they can be a smaller group with a decent-sized financial backer that is hoping to invest in the smaller group as a platform for growth. But the true “currency” of the VBC/ACO model is "covered lives." And basically, only PCPs get covered lives. Steward is among the nation’s largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.īased in Dallas, Steward currently operates 39 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, Texas, and Utah.The VBC model works best if the patient stays within the ACO that is handling the care. First, ACO is generally linked through the electronic medical record. Second, the providers in the ACO are out of the “click” mentality and are free to focus on the right care, right time, and right place. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.Īs the country’s largest physician-led, tax paying, integrated health care system, our doctors can be certain that we share their interests and those of their patients. ![]() Nearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. We look forward to leading the industry in this new era of health care and continuing to provide world class care to our patients." ![]() The extension of our ABL coupled with our reengineered structure position us extraordinarily well for the coming year. Steward used lessons from the pandemic to refocus its nationally acclaimed value-based model. Ralph de la Torre commented, "The Covid pandemic, and its aftermath, exposed serious fault lines in the traditional approach to health care. as Administrative Agent, the new agreement amends and restates in its entirety Steward’s previous credit agreement. DALLAS, December 22, 2022-( BUSINESS WIRE)-Steward Health Care System LLC (Steward) today announced the completion of the extension of their ABL agreement with its lenders, through December 2023.
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