As a trusted advisor to the healthcare community for over two decades, Stout has observed and supported the development and evolution of hospital-physician alignment strategies and models across the continuum. More recently, our extensive experience with alignment models has helped our clients remain competitive and compliant amid the shift to value-based care.

Success in a value-based world requires streamlined delivery of high-quality, lower-cost healthcare with an emphasis on stakeholder satisfaction. Healthcare entities are facing increasing pressure from payors and consumers to operationalize value-based initiatives that will command transparency, sophisticated data structures, and evidence-based, reliable mechanisms by which to track and report outcomes. Absent affiliations, both larger organizations and independent provider groups may not have the ability to meaningfully operationalize alternative pay models and value-based contracts.

For example, regulatory barriers and cost-prohibitive technology infrastructure can limit the capacity of independent providers and groups to optimize their role in the delivery of high-value, population-based care across the continuum.

However, when structured appropriately with resources from hospitals and health systems, and the expertise, knowledge, and entrepreneurial proficiency of independent physicians, collective synergies provide the foundation for success in value-based care.

Stout’s hospital-physician alignment team includes former operators, practice leaders, and legal advisors with decades of combined experience who routinely consult and advise clients on a variety of alignment strategies, including:

• Mergers & acquisitions
• Medical home models
• Compensation guarantees and subsidies
• Clinical integration
• Gainsharing and internal cost savings arrangements
• Accountable care organizations (ACOs)
• Foundation models
• Value-based enterprises
• Physician hospital organizations (PHOs)
• Captive group models
• Joint ventures
• Service line co-management
• Hospital quality and efficiency programs (HQEPs)
• Independent practice associations (IPAs)