If you don't develop that operational excellence, that inherent organizational muscle that says, Oh, when we have CKD patients, our CKD patients run at a materially lower cost level than a market average, well, then your opportunity to leverage that care model, to take care of those patients, to outperform benchmarks and perform inside risk contracts is not there.
So you can't progress. into those greater levels of risk. You said something super interesting there. What the goal is for an MSSP ACO is to be able to state that ACO can provide care that outperforms a market benchmark. And if you can say that, then you can start moving into greater levels of risk because the delta between how that particular ACO is doing and that market benchmark, like that's the opportunity that you would start negotiating.
Around because those are the dollars that are on the table it sounds like.
Listen to the entire episode here...
https://youtu.be/qfTJyNBOzho