Reducing unnecessary care is becoming increasingly important in a value-based care environment. However, despite the high cost of unnecessary care, reducing it is challenging for providers. Here are several keys to reducing unnecessary care:
- Increased documentation: By accurately documenting the care process across various sites and care systems, you can significantly reduce unnecessary care.
- More transparent data: As performance data for healthcare providers becomes more available and accessible, transparency on both medical necessity and unnecessary care is a certainty.
- Bigger payments and penalties: Enforcement actions and application of penalties will likely rise, and programs like bundled payments and accountable care will be judged by adherence to medical necessity and avoidance of unnecessary care.
- Greater physician leadership: Efforts to reduce unnecessary care will likely increase the role and scope of the chief clinical officer. CCOs will now have more complicated duties and rely more on clinical data.
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