The Organization
Why do we need a provider organization?
Having a provider organization allows you to access multiple opportunities for cost savings and revenue enhancement that might not otherwise be available to individual practices. It will also provide a body for governance and forum for decision making for your project.
What functions would a provider organization perform?
A well-composed provider organization can provide leadership and governance for your project. It will act as a deliberating and decision making body, coordinating and managing your project through a physician-led board and various committees. It will be responsible for sustaining itself and your activi-ties. If desired, an appropriately constructed organization could become clinically integrated. It can create cost savings and revenue enhancement for its provider-members. A good organization will en-gage people from every level of member practices and attract them to your project.
What services would be delivered by the provider organization?
With HVA, the medical organization will manage the programs to deliver clinical quality and improve economic efficiency for all participating member-practices. Through vendors, the organization will pro-vide health information technology, management, maintenance, and support. It can serve as a central purchasing agent and manage the essential vendors. Using data accumulated in your EMR database and through your organization you can access pay-4-performance incentives and additional incentive monies available through the American Recovery and Reinvestment Act of 2009. When clinically inte-grated, your organization will be the vehicle through which you participate in essential joint venture ac-tivities such as payer contracting.
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