Reflecting On The Transformation To Value-Based Reimbursement

By John Oncea, Editor

Top administrators from Crystal Run Healthcare look back on what it took to make the successful transition to value-based reimbursement and the role that transition played in its population health management initiative.

Crystal Run Healthcare (CRH), a large multispecialty practice with more than 350 physicians practicing in over 40 medical specialties over 15 locations, was one of the first in the country to earn Level 2 ACO status from the National Committee on Quality Assurance (NCQA). To accomplish this, CRH had to shift to value-based care and population health management, show its capabilities with regard to value-based care, and show how it actually manages populations.

CRH’s Chief Clinical Transformation Officer, Medical Director, and Physician Leader for Crystal Run Healthcare’s Pediatrics division, Jonathan Nasser; and Chief Quality Officer, Medical Director, and Physician Leader for Crystal Run Healthcare’s medical specialties division, Scott Hines, acknowledge leadership and clinical structures played a key role in successfully accomplishing these tasks, but the two also singled out technology as an essential element.