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Healthc Financ Manage ; 68(5): 74-9, 2014 May.
Article in English | MEDLINE | ID: mdl-24851456

ABSTRACT

An assessment of a provider's level of risk capability should focus on three key elements: Business intelligence, including sophisticated analytical models that can offer insight into the expected cost and quality of care for a given population. Clinical enterprise maturity, marked by the ability to improve health outcomes and to manage utilization and costs to drive change. Revenue transformation, emphasizing the need for a revenue cycle platform that allows for risk acceptance and management and that provides incentives for performance against defined objectives.


Subject(s)
Financial Management/organization & administration , Health Facility Administration/economics , Cooperative Behavior , Financial Management/economics , Organizational Innovation , Patient Protection and Affordable Care Act/legislation & jurisprudence , Risk
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