Once you figure out your strategies and how incentives overlap, if you are considering developing a multipayer ACO, data is going to be critical. You need to have a performance management system, Perez says.
"You need to know how the entity is doing, because if you don't have midstream connections, you'll wake up at the end of the year and [you'll have] missed all these targets," he says, referencing the performance targets that commercial and government payers require ACOs to meet in order to share in financial rewards.
"You have these gainshares, but if you don't meet them, you're hosed," he says. "The way to dispel that is to put in place the machinery for the weekly or bi-monthly reporting on how you're doing."
The bottom line:
That's the way to balance priorities and manage through the "two masters" problem.