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Gearing up for risk: The role of infrastructure, staffing, and culture

Healthcare providers are taking on increased risk under accountable care models like the Centers for Medicare & Medicaid Services (CMS) Pathways to Success plan to overhaul the Medicare Shared Savings Program (MSSP). To ensure the success of value-based initiatives, leadership teams have important decisions to make. New regulations limit how long providers can stay in Shared Savings before moving toward a risk arrangement. Healthcare organizations, including accountable care organizations (ACO), must now determine the right path forward and strategically realign people, processes, and technology to guard against downside risk. 

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