Financial Management

The financial systems required to manage fiduciary health under risk arrangements are far more complex than the simple practice management and billing systems in the Fee For Service environment.

Consider the complexities of revenue cycle management, actuarial analytics, business intelligence analytics, and different reimbursement strategies under multiple different risk arrangements where the margin accrued from shared savings may be less than the loss incurred through improved care management for subsets of providers within the organization’s structure.

The following functions and HIT capabilities are basic for all organizations taking on any form of downside risk.