Adapting with the Modern World
The speed of change in how care is delivered is impressive. The reality however should be sobering to all — the business models that support US healthcare — and manage the flow of funds from person to payer to provider – will not support the changes taking place. While everyone has complained about FFS amid a growing consensus for change … the mechanisms to support funds flow, revenue cycle, and most forms of performance alignment all sat on a chassis built around FFS. Many (not all) providers and provider types balanced underpaid services and community benefit (and government payment) with overpaid payment, less than optimized utilization and sites of services (think soft admissions and non-Urgent ED visits) to make it all work. Not to mention meet market requirements related to provider compensation and debt service. This careful balance – arrived at over years of it being the reality – will be upset coming out of the COVID Crisis. We Nascate are prepared to contribute to the changes that will ensue … are you?