Valence Health, a leading provider of clinical integration, population health, and value-based care solutions and services, today announced the full availability of the new book, Helping Solve the U.S. Healthcare Crisis: The Provider's Guide to Building a Successful Health Plan. The book serves as a practical guide for hospital and health system executives considering, or in the early stages of, implementing a provider-sponsored health plan (PSHP) for their organizations.
This first and authoritative book on the subject was written by Valence Health Co-Founders Phil Kamp and R. Todd Stockard, and delves into the clinical, operational, and financial aspects of provider-sponsored health plans of all types (Medicare Advantage, Medicaid, Commercial). It arms readers with easy-to-apply checklists, observations from more than 50 well-respected industry experts, and nearly two dozen successful PSHP case studies including Driscoll Health Plan and Alliant Health Plan. Throughout the book, the authors practically apply their experience from more than two decades of helping providers pursue this ultimate value-based model.
George Lynn, President Emeritus of AtlantiCare and two-time chairman of the Board of Trustees of the American Hospital Association, who founded a PSHP during his time at AtlantiCare, said the book is an invaluable resource for providers who are interested in both improving patient care and becoming stronger competitive players in an evolving market.
"Hospitals are looking to differentiate themselves in the market while remaining financially viable, and to do so must employ unconventional approaches to both financial arrangements and care delivery," he explained. "Phil Kamp and Todd Stockard have created this step-by-step guide to empower hospitals, health systems and large physician groups across the country and free them from traditional payor relationships."
The Affordable Care Act's creation of the Health Insurance Marketplace, as well as The Centers for Medicare and Medicaid Services' recent restructuring of Medicare and Medicaid payment models, are creating new opportunities for PSHPs. Advances in technology, analytics, and outsourcing partnerships have also lowered the risks associated with this business model.
Said co-author and Valence Health Chief Strategy Officer, Kamp: "Providers can and should work to build their own health plans and benefit designs because they're the ones who have the first-hand knowledge needed to match care models and quality metrics to reimbursement. We believe that aligning financial and clinical incentives is in the best interest of patients, and is the best path forward for fixing the U.S. healthcare system. That's why Todd and I wrote our book...in the hopes that it would act as an ever larger springboard for providers to take on more and more responsibility for costs, quality, network setup, plan design and anything else that pertains to providing health insurance coverage."
Helping Solve the U.S. Healthcare Crisis: The Provider's Guide to Building a Successful Health Plan is available for desktop, mobile and tablet devices by visiting Valence Health's website and for digital purchase at Amazon.com.
About Valence Health
Valence Health provides value-based care solutions for hospitals, health systems and physicians to help them achieve clinical and financial rewards for more effectively managing patient populations. Leveraging 20 years of experience, Valence Health works with clients to design, build and manage customized value-based care models including clinically integrated networks, bundled payments, risk-based contracts, accountable care organizations and provider-sponsored health plans. Providers turn to Valence Health's integrated set of advisory services, population health technology and managed services to make the volume-to-value transition with a single partner in a practical and flexible way. Valence Health's more than 900 employees empower 85,000 physicians and 135 hospitals to advance the health of 20 million patients. For more information, visit www.valencehealth.com.
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