How to ensure the successful implementation strategic plan


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Q: What would you do differently to ensure the successful implementation of the assisted living facilities strategic plan?

From a legislative standpoint, the changes in recent politics and regulations will have an impact on the strategic planning for coordinating patient health strategies in assisted living facilities with economic changes to a more quality-based payment or reimbursement system. Reacting too quickly or responding too slowly will affect financial performance and the instability in the health care marketplace will require the strategic plan to focus more on financial planning. The strategic plan will need to focus on ways of improving the payer-mix, trends, and will require the providers to be prepared to respond to the Medicare Access and CHIP Reauthorization Act of 2015.

The degree to which reimbursement models will change in 2017 remains uncertain (Jacobs 2017). There will continue to be debate on the rise in the ACA insurance premiums, Medicaid and Medicare reform and commercial insurance regulation. The move to more quality-based, efficient and data-driven results are not likely to go away and legislative changes will force the strategic plan to identify ways in which to deal with higher deductibles, payer-mix shifts, and possible increases in bad debt, and even greater transparency on price and outcomes. The strategic plan will need to focus on the patients living at these facilities and structure care around their special and particular needs so that a more value-based outcome is created.

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