Seaside Medical Group Case Study: Moving Towards Population Health Management

Assessing options

The case study talks about a company by the name Seaside Medical Group which is a health-based company. The said company was formed as a result of a merger where three different groups came together. It happened some ten years ago and grown significantly to adding two smaller units. The company’s purpose before the merger was to protect from going down for most RVUs. Despite there being risks in the approach, the management sought information from other groups, and hence, they realized there was a need to change several issues. In this revolution, the company used various options that would help in the revolution. There was consideration ion where they were going to source capital to accommodate patients, among others. After all these evaluations, the company decided to go forward in evolution, which would take time.

From the case study, we can analyze that the company seaside medical group was not performing well before its evolution. After the merger, the number of physicians increased tremendously to 310. It became highly regarded in the state with 58% and [email protected]% primary care and specialist, respectively. In the course of its revolution, the company outsourced information, and hence it eliminated silos that formed part of its clinical data.

Concerning the need for capital for its investment and expansion, several measures were taken to help source the capital. The management opted to go for joint ventures with other health providers, playing teamwork with other capital ventures a borrowing. In solving the issue of the large population, other physician groups were looked into to spearhead the overhead cost. A management service organization was developed to offer support services and keep EMR dart analysis

These factors helped the grouping its development which they also realized it was to take a reasonable duration of time. Besides this, there was a need to implement other t factors in the course of development; these factors included; insisting on the workers, they need for teamwork. A strategy was also developed to help treat its large population. Finances were well distributed within the CIN and quality contracts awarded.

Seaside Medical Group has now developed and has been able to cover a 10-county area. Besides that, there was the formation of a new entity known as Lowlands ACO. The Group, together with its key partners, are involved in various value-based contracts, which include; gain- sharing ACO and four commercial agreements, among others (Chamekh, 2019).

The tools used by the Seaside health group included “a care networks population health tool.” The tool helped in recognizing the need for individual health conditions and surrounding environmental conditions in maintaining and promoting health. The other tool included “a CIN’s Revenue Distribution Model.”

Conclusion

From the case study so seaside Medical Group, we can conclude that a merger among key groups praying the same role can help in reconstruction. The Group sought to allay with other groups in the health sectors to avoid going down every year for most RVUs. By taking measures of merger a carrying out market analysis to see on the areas of improvement, the Group was able to grow tremendously. The Group was able to achieve on changing its physician group to a value-based focus as it was initially a free-for service. The Group was also able to establish relations with other key players. From this case study of the seaside Medical Group, we can conclude that a merger among various groups can help in the rebuilding of an organization.

Regarding the case study of the seaside medical Group, I would recommend that appropriate management should be put in place to help sustain the merger. Through active management, it will help ensure that there remains a strong bond among the different groups that came up during the merger. Effective management will help sustain the achieved goals which had been initially set by the groups. To avoid conflict of interest, the groups also need to have set regulations that will help in their rules (Smith, 2015). The steps taken in the case study to help revive the seaside Groups are viable and of great importance, which can be recommended for another company experiencing the same challenges.

How did the management of seaside medical group work towards moving its physicians from serving for free into having value for their service?

Why did the Seaside group work towards forming an integrated network to be used by its clinicians?

How is the doctor’s reimbursement alterations in the company addressed?

References

Chamekh, M. The Interplay of Health, Pleasure and Wellness in British Seaside Resorts: the Case of Skegness on the Lincolnshire Coast. Revue Française de Civilisation Britannique. French Journal of British Studies, 24(XXIV-3), (2019).

Smith, M. Baltic health tourism: Uniqueness and commonalities. Scandinavian Journal of Hospitality and Tourism, 15(4), 357-379, (2015).