Strategic Options: It's Not ACO or Nothing

Mark DuBow, for HealthLeaders Media , September 2, 2011

4. Island

  • A sole provider in a region. May be any size.
  • Scope of services meets the majority of the needs of the population served and is supplemented with patient transfer agreements, tele-medicine, and coverage agreements for needed specialists
  •  Strong outreach strategies and resources
  •  Ability to limit out-migration by patients via meeting their needs (access, clinical skills, service)
  • Ability to protect "flanks" from invasion by competitors
  • Strong relationship with local community
  • Financial strength to support access to capital
  •  Creative in recruitment and retention of clinical staff

5. Virtual Health Organization

  • Entity that contracts to support other providers. Does not own or operate a care delivery site.
  • Delivers healthcare resources (e.g., physician/nurse/technician on-site staffing; remote consultative support [eICU, Nighthawk, etc.]; remote monitoring of implantable, wearable, and tabletop monitoring devices; databases via multiple modes of telecommunication connectivity)
  • Thorough knowledge of "target" customers
  • Strong marketing and sales capability; "retail" skills
  •  Large, geographically dispersed network of resources available on an extended schedule
  •  Strong network management capability ensuring rapid response/turnaround and delivery of a standardized set of services/products
  •  Strong client installation/implementation, training, and service capability
  •  Strong IT and telecommunications resources compatible with a diverse array of providers

6. Vantage Integrated Strategy

  • Essentially, an ACO "on steroids"
  • Provider, payer, or other party that assembles and coordinates a network or system that consists of providers, financial resources, and a broad array of other strategic alliances.
  • Strong IT and telecommunications resources compatible with a diverse array of providers
  •  Access to capital
  •  Legal skills to form network relationships and manage within the regulatory guidelines
  • Understanding of the businesses and the management strength necessary to integrate the operations and cultures of diverse members of the network
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