In the near future, healthcare providers will need to deliver value in order to seek full reimbursement for their clinical services. Value will be defined as a balance of optimal clinical outcomes and clinical utilization. The most efficient service delivery model to achieve clinical value at scale is the clinical integration of practitioners to effectively manage relevant patient populations. A clinical integration program ensures that the participating healthcare providers achieve high quality outcomes for patients while controlling clinical utilization to benefit the overall health system. Hence, clinical integration is being sought and will likely be mandated in some form by both Centers for Medicare & Medicaid Services (CMS) and private insurance carriers within the next three to five years.
Please contact RCCA to learn more about our comprehensive Oncology Clinical Integration Program and how our program can maximize patient care.