Market pressures such as risk-based payment, shifting reimbursement, and primary care redesign are encouraging CV specialists to partner with service lines and PCPs—but these pressures are also redefining the expectations of the relationships.
This study provides 11 strategies to help CV programs navigate these changes and form valuable physician partnerships across the continuum. Download the complete publication or explore the table of contents below to jump to specific strategies.
The new service line-specialist partnership
Traditionally, CV programs have pursued physician alignment as a means to increase referrals and revenue capture. But these aren’t the only priorities in a value-driven market, and programs are adjusting their physician partnership expectations accordingly. They’re now looking to specialists to support cross-continuum care coordination, total cost reduction, increased access and market capture, and better patient experience. And as market pressures escalate, many hospitals are pursuing formal affiliation with CV specialists. Over 60% of Cardiovascular Roundtable members employ medical cardiologists, and 74% of members expect to increase employment across the board in the next three years.
But contractual alignment isn’t enough. CV service lines will need to better integrate management and operations with affiliated specialists to achieve the value-based care benefits of partnership, and programs will also need to design compensation models that incentivize specialists to support value-based goals.
The new specialist-PCP relationship
After building the right infrastructure for effective hospital-specialist partnerships, CV programs should turn their attention to their relationships with primary care. Medical homes and ACOs are expanding PCPs’ clout in the market, so CV specialists will need to strengthen partnerships with these physicians to define their role in the referral pathway and optimize long-term outcomes for CV patients.
The remainder of this study offers best practice strategies and supporting resources to help CV programs strengthen these primary care relationships and move beyond contractual alignment in their service-line partnerships with affiliated specialists.