Compliance Is Just The Start

Compliance is so yesterday. Consumers and health plan managers expect that provider organization executive teams have mastered compliance. Their focus now is value—that elusive combination of quality, performance, and 'reasonable' costs (see 40% & Counting and  56% Of Payers Had Outcomes-Based Provider Reimbursement In Place As Of September 2021).

How do executive teams move their culture from 'what is compliant' to 'what is optimal' for consumers'? There are many elements in that transition, but I think adopting a data-driven culture with a data-driven approach to decision making and management is critical. While many executives think this . . .