Newtown, CT – June 29, 2012
Uncertainty carries a significant cost – it makes estimates more difficult, increases the potential business risks of any venture, and since most of us have a tendency to overestimate losses rather than gains, uncertainty is a big brake on forward motion. And yet, despite the uncertainty of the Supreme Court's decision on the ACA, hundreds of provider organizations and dozens of health plans had taken their cue from the long debate that led to the passage of the Law: the need to change the status quo. CMS went full-bore, launching a large number of initiatives, including several focused on payment and delivery system reform, to further stimulate the market movement to value-based purchasing. And yet the anchor was there, halting the full momentum. The uncertainty of the Supreme Court decision was weighing heavily on the minds of C-suites – should we continue business as usual or make the needed investments to deliver value? Well they now have the answer and there are no more excuses. None.
What this means to you – The anchor has been lifted and the winds of change can push us to another shore with little to stop the momentum. We're not sure what's on this other shore, but we have the firm commitment – the belief – that what lies ahead is better than what we leave behind. There's no doubt that some won't make it. Hopefully, most of those will be the diehard agents of the status quo, the leaches that prefer to suck the system dry than see it transform into something better. However, we shouldn't kid ourselves. The transformation of such a significant component of the economy will gut some organizations and see the birth of others. We must resist the temptation to save those who cannot withstand the coming transformation else see them become the new anchors that slow us down. And while the new shore is still a ways away, we've just picked up a few more knots and it's steady as she goes.
Francois de Brantes
Health Care Incentives Improvement Institute, Inc.