1 Difficulty of implementing new models of care across the continuum
2 Change management, education, training, cultural shift
3 Lack of expertise and resources – data ecosystem, workflows, multi-disciplinary care teams, and reporting
4 Poor coordination between clinical, financial, contracting, and operational stakeholders
5 Slow or limited physician engagement
6 Lack of actionable patient data for physicians & care teams at the point of care
7 Multi-payer environments and variation of economic metrics
8 Programs and interventions that do not align with value-based contracting incentives
Health Affairs, September 2019 | NEJM, July 2019 | McKinsey, April 2019
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