Health systems and physicians have a unique relationship. Physicians make decisions regarding patient care, which impacts the financial viability of the health system. Physicians look to provide optimal care and often resent hospital-generated guidelines they were not a party to creating which seem to impact care by reducing costs. Thus, a conundrum is created: aligning the goals and aspirations of both the health system and providers to create sustainable programs to enhance patient outcomes while improving financial performance.
Dynafios has the expertise and experience to help clients both set-up Value Based Enterprises, as well as assist in managing the success. With years of experience in working with both health systems, payors and providers the Dynafios team can deliver a winning alignment strategy to drive results.
We have established co-management agreements for key services lines such as general medicine, cardiovascular, oncology, orthopedics and surgical services. Our process begins with setting expectations and developing a shared vision among physicians and hospitals. While there are many details to work through, the overall structure of a co-management arrangement is straightforward.
Ensuring all of your bases are covered…Mitigating risk with physician agreements.
With healthcare business arrangements growing increasingly complex and financial reporting of healthcare organizations under heightened scrutiny, fair market valuations (FMV), auditing and contract adjudications are more important than ever before.
Our team of senior appraisers utilize both national and proprietary databases for FMV opinion letters in a variety of business, contractual and asset valuation work. From FMV opinion letters to contract adjudications, we have an experienced team that can provide the third-party review for all your compliance needs.
In addition to our compliance services, Dynafios also offers software products that help reduce compliance risk with physician agreements. The DYNAFIOS APP is an easy to use physician timekeeping and contract compliance app that helps ensure all contractual relationships are compliant and within FMV.
With recent changes to the Stark and AKS statutes created by the Regulatory Sprint to Coordinated Care, providers have a significantly increased ability to move towards higher quality, value-based care arrangements. With the simple requirements of a Value Based Purpose, Value Based Enterprise, Value Based Arrangement and Value Based Activities, organizations can now manage target patient populations in tighter care coordinated protocols.
A VBE can be considered a network of providers engaged in value-based activities. Any type of organization can be a Value Based Enterprise, including CIN, ACO or other contractual professional services agreement. VBE’s must have an accountable body or person who is responsible for the financial and oversight of the VBE and a governing document that describes the VBE, the purpose and participant’s intent to achieve the value-based outcomes. VBE must have a target patient population selected using legitimate and verified criteria defining the need for improvement.
The Value Based Purpose must include one of four (4) purposes:
Written agreement specifying the target patient population and value-based activities to achieve the VBE purpose. It must include the target population, description of the remuneration, and term of the agreement.
Structuring relationships with providers through a VBE provides new opportunities to target activities related to care coordination, directed referrals, and cost standardization given the new AKS and Stark safe harbors and exceptions. Partnering with post-acute providers can now include in-kind remuneration such as cost sharing for Care Coordinators. Direct referrals to specific providers or suppliers are allowed for the target patient population.
Dynafios has decades of experience in bringing together providers and organizations to create higher quality care and cost predictability across a variety of settings and patient populations. Our clinical consulting team brings the latest evidence-based practices and works with providers and other clinical staff to implement and track improved outcomes.
Founded in 2004 Dynafios continues to grow and expand throughout the healthcare industry assisting clients in the areas of physician alignment, analytics and compliance services. With a seasoned team of analysts and consultants, Dynafios closely works with each client to improve the clinical process of care, patient experience, operational efficiencies and outcomes…all critical in a value-based purchasing environment! Our innovative products 4CAST and The DYNAFIOS APP provide clients the ability to understand clinical variation, provider performance and help organizations efficiently manage time activities that require payment for services.
