Healthcare is in need of transformation. Change is inevitable. The US Healthcare system is more costly and produces outcomes (when measured) that are ranked less than most other fully developed economies in the world. Part of the reason for this less-than-stellar performance is the high degree of fragmentation in the delivery systems within each community. With an estimated additional 32 million Americans gaining access to coverage in 2014, the demand for services continues to increase and burden the existing system. Yet we are “path dependent.” There are, and will remain to be, a multitude of different owned and operated provider elements. No consolidation through merger and acquisition activities can weld the disparate system parts together in a time frame that will produce a delivery system the market needs now – a truly Integrated Delivery System (IDS).
The Need for Alignments
Our complex and fragmented healthcare system has created a need for existing components to form alignments that can bring forth coordination of care that will reduce costs, improve outcomes, and enhance the patient experience – the triple aim. Only community-based systems can bring forth the medical home models of care and the Accountable Care Organization (ACO) structures that are being called for to transform healthcare. While these medical homes and ACOs will revolve around hospitals and physician groups, they will also need outreach into the communities that will allow existing independent providers to help shoulder the expected demand.
Rehabilitation Management Services (RMS)
Therapeutic Associates’ specialization in the discipline of physical medicine makes us uniquely qualified to integrate with physicians and hospitals to help create a delivery system of musculoskeletal care that can optimize the balance among quality of care, access to services, and cost containment systems – the traditional vertices of the managed care paradigm. We have the experienced and highly-credentialed providers, and the necessary training systems and tools to ensure documented, high quality of care. We have access points throughout the market to conveniently provide care in a timely manner. We also have the management expertise and administrative ability to participate in unique alternative payment programs, pay for performance models, and even risk-taking structures if necessary.