So, you want to form a healthcare network - now what?
Abstract
Healthcare networks are rapidly developing owing to the rising costs of maintaining independent practice while complying with changing rules and regulations. As groups are looking to create a network, a thorough evaluation completed in preparation for participation will assure their new venture greater success. The experiences of current networks, including those associated with accountable care organisations (ACOs), provide a road map for others. Keystone ACO, LLC has more than eight years of network experience in value-based contracting within the Medicare Shared Savings Program. (Keystone Accountable Care Organization, LLC is a Medicare Shared Savings ACO currently participating in the Basic Track E risk track. Information on Keystone ACO can be found at Keystoneaco.org.) This paper presents experiences of management consideration and staffing structures within Keystone ACO. Observations that are both positive and negative, coupled with policy and regulatory statutes, can assist new networks in selecting participants, evaluating opportunities and providing the staffing resources to create a successful healthcare network. The content of this paper provides examples and thought processes behind building a successful network.
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Author's Biography
Melody Danko-Holsomback , CRNP, MSN, has over 27 years of nursing experience, 21 of which have been within Geisinger Health. She has performed nursing roles in community practice, inpatient and post-acute care settings. Additionally, she has worked in various analyst and consulting roles in information technology (IT) and population health consulting before entering her role as Chief Administrative Officer and Director of Operations and IT for Keystone Accountable Care Organization (KACO). In addition to her KACO role, she also worked per diem as a skilled nursing facility provider (SNFist) for Geisinger Clinic. Keystone ACO, LLC is a Medicare Shared Savings Program, Basic Level E Track Accountable Care Organization (ACO), serving over 75,000 Medicare beneficiaries. In August of 2021, Melody started the role of VP of Education for the National Association of ACOs (NAACOS) to lead the organisation’s continued value-based care, educational and support needs. She has served as a member of the National Association of ACOs (NAACOS) Quality Committee, The National Quality Forum (NQF) Measure-Loop-Feedback Committee, Health Care Transformation Task Force (HCTTF) committees, and board, and is a Days-at-Home Technical Expert Panelist. Melody attended Ohio University for her BSN and Wilkes University for her MSN as an Adult-Gerontology Primary Care Nurse Practitioner.
Citation
Danko-Holsomback, Melody (2022, March 1). So, you want to form a healthcare network - now what?. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 6, Issue 3. https://doi.org/10.69554/CCUY7576.
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