Overview
Healthcare organizations can expect to take on more risk in managing the health of the patients they serve as a result of Health Reform legislation.
Large hospitals and health systems with self-insured employee health plans have actually been managing this risk for some time.
However, the risk has not been managed by the hospital - it has often been managed by the health insurance carrier they have engaged for claims processing and network access.
We have worked with our health care clients (70% of our clients) to return the health management process inside the organization.
In turn, this has helped to create the basic infrastructure for managing other risk populations and established the framework for functioning as an Accountable Care Organization.
