Clinically Integrated Networks And Population Health

Healthcare organizations increasingly face the demands of value-based reimbursement as hospitals and physicians are held accountable for higher quality care delivered at a lower cost. As organizations plan and prepare for value-based care, they also must remain focused on margins threatened by increased cost structure and declines in reimbursement in the current fee-for-service environment.

To maintain focus on current operations while positioning themselves for the opportunities in this value-based reimbursement market, many hospitals and physicians have turned to clinical integration as a viable option. Growing in number since 1996, when the Federal Trade Commission (FTC) provided guidance on its antitrust enforcement policies related to healthcare organizations so that affiliated healthcare providers could avoid triggering anti-kickback, Stark Law and similar regulatory violations, today there are an estimated 500 clinically integrated networks (CINs) in the United States.

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