Payment Modeling

Changes in the healthcare landscape have created myriads of new, innovative payment methodologies. Some are still in their embryonic stages and, therefore, still evolving. And many of these payment formulas are highly complex and contain many moving parts and variables.

So how can you truly predict with accuracy which payment modeling structures will work best for your organization and your providers – and which ones to avoid?

Ascendient’s team specializes in providing payment modeling analysis and advice to help healthcare organizations navigate this evolving terrain with higher levels of confidence. Whether you are trying to develop or evaluate a risk-sharing contract, or one that links reimbursement to outcomes or performance – Ascendient can guide you each step of the way. We can help you determine:

  • Which service lines and revenue streams at your facility are at greatest risk due to the coming shifts in outpatient care delivery, including site-neutral payments and the move to fixed payments and higher levels of provider risk assumption?
  • What specific risk scenarios is your facility most likely to face over the next 5-10 years? Given these risks, what do your institution’s volumes, revenues, and cost structures need to be for your organization to remain viable under these altered circumstances.
  • Which innovative strategies and tactics will enable your facility to achieve viability in a transformed system?

More On This Topic

What Hospitals Need to Know About Medicare Advantage Growth