Is your organization strategically prepared to be a Medicare PSO?
The new Medicare+Choice managed care program authorized by the Balanced Budget Act of 1997 affords hospitals and physicians an opportunity to contract directly with HCFA to provide services to Medicare beneficiaries through a provider-sponsored organization (PSO). Developing and operating a Medicare PSO is a complex process, however, and organizations that lack certain strategic and operational "readiness" characteristics may encounter significant barriers to success. To ascertain their readiness to form a Medicare PSO, providers should assess their capabilities in six key strategic areas: culture and governance, organizational and legal structure, market position and strategy, provider network, risk-contracting experience and supporting infrastructure, and capital resources and fiscal soundness.
Kelly
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Jennings Ryan and Kolb, Jacksonville, FL, USA.
D002204:Capitation Fee; D014487:Centers for Medicare and Medicaid Services, U.S.; D019058:Community Networks / Q000191:economics*; D003256:Community Participation; D004465:Economic Competition; D005376:Financial Management / Q000379:methods*; D006075:Governing Board; D006761:Hospitals; D016345:Medicare Part B / Q000458:organization & administration* / Q000639:trends; D015279:Organizational Culture; D010820:Physicians; D014481:United States