Berman says gainsharing is a good place for healthcare organizations to begin. "Gainsharing is shared savings, but there are certain regions where the legal community is very nervous about gainsharing. But gainsharing can be simpler to get off the ground with a group [of physicians] and help spark collaboration. It can be a good starting point to move physicians toward the organization's big picture," she says.
When it comes to cost reduction efforts, gainsharing and shared savings models both can work well. For hospitals or health systems still striving to develop better physician collaboration, gainsharing can be a way to dip the organization's metaphoric toe into the waters to see how much work might be required before establishing an accountable care organization and shared savings model. Regardless of what the Supreme Court rules on PPACA, financial leaders will continue to need cost reduction approaches.