Corporate-Level Management Consulting Empowering Healthcare Small Business

"Transform Your Healthcare Practice with Expert Guidance and AI-Driven Solutions"

Business Consulting

"LexCare Partners is your trusted ally in value-based care, navigating compliance, optimizing operations, and unlocking growth potential—tailored exclusively for small and mid-sized healthcare businesses."

Running a healthcare practice comes with unique challenges, from compliance hurdles to operational inefficiencies and growth roadblocks. At LexCare Partners, we bring decades of healthcare management expertise to help you overcome these challenges and thrive. Our subscription-based services make corporate-level expertise accessible and affordable.

Why Our Membership Model Works

Long-Term Coaching for Measurable Success:

Unlike traditional consultants who deliver reports and disappear, we provide continuous coaching and strategic advice to help you implement recommendations, monitor progress, and achieve sustained growth.

Affordable Access to High-Level Expertise:

Forget the high costs of keeping full-time management consulting on payroll. With LexCare Partners, you have a dedicated healthcare business coach who will act as your trusted advisor—without breaking your budget.

Customized and Scalable Support:

Select the business consulting packages you need, pay for them in manageable monthly payments, and scale at your own pace. Our program is designed to help businesses with limited budgets.

Data-Driven Success Tracking:

We help you set KPIs and continuously assess your progress, ensuring your business remains on the right track.

Why Need LexCare Partners?

Drop-down button to find the Value-based care implementation timeline.

📅 Timeline for Value-Based Care Adoption by Specialists

✅ Current State (2023-2024):

Primary Care Providers (PCPs) have been the main focus of VBC models through programs like the Medicare Shared Savings Program (MSSP) and Primary Care First (PCF).
Specialists are increasingly being encouraged to transition from fee-for-service (FFS) to value-based models.
CMS and private payers are piloting specialty-specific payment models through the Center for Medicare & Medicaid Innovation (CMMI).

🚀 Short-Term (2025-2026):

CMS is set to expand Specialty-Specific Alternative Payment Models (APMs) to encourage wider VBC adoption among specialists.
Bundled Payment Models such as the Bundled Payments for Care Improvement (BPCI) and Oncology Care Model (OCM) will be refined and expanded.
Specialty-focused models will begin to incentivize:
- Episode-based care for high-cost, high-volume conditions (e.g., orthopedics, cardiology).
- Risk-sharing arrangements where specialists are accountable for cost and quality outcomes.

📈 Medium-Term (2027-2028):

Full-scale adoption of condition-based bundled payments and episode-of-care models for specialists.
Expansion of Medicare Advantage VBC programs with enhanced incentives for specialist participation.
Increased focus on Accountable Care Organizations (ACOs) integrating specialists into risk-sharing arrangements.
Enhanced data-sharing and care coordination between primary care and specialty providers to ensure seamless care under VBC frameworks.

🩺 Specialties to Transition First

Certain specialties are positioned to adopt value-based models faster due to high-cost procedures, chronic condition management, and measurable outcomes. These include:

Cardiology: Expansion of bundled payments for cardiac care and management of heart disease.
Orthopedics: Episode-based payments for joint replacements and other surgical interventions.
Oncology: Value-based oncology care through models like the Oncology Care Model (OCM).
Gastroenterology: Colonoscopy and chronic disease management in bundled care models.
Nephrology: VBC models for managing chronic kidney disease (CKD) and end-stage renal disease (ESRD).

💡 Factors Driving VBC Adoption for Specialists

CMS Payment Reform: CMS is pushing to transition 100% of Medicare providers into VBC arrangements by 2030.
Specialty-Specific Models: CMMI is piloting models to incentivize specialists through episode-based payments.
Data and Technology: AI-powered analytics and predictive modeling will help specialists identify and manage at-risk populations efficiently.

📢 Challenges Specialists May Face in VBC Transition

Data Sharing & Integration: Seamless integration with primary care to manage care coordination effectively.
Risk Adjustment & Benchmarking: Defining appropriate performance benchmarks to account for patient complexity.
Financial Risk Management: Balancing financial risk in VBC models while maintaining quality outcomes.

🎯 Recommended Strategy for Specialists:

Pilot VBC Participation Early: Engage with existing bundled payment and specialty-specific models.
Leverage AI & Data Analytics: Use predictive models to identify high-risk patients and reduce unnecessary costs.
Integrate with Primary Care Providers: Build relationships with PCPs to create coordinated care ecosystems.
Track and Report Outcomes: Develop a robust infrastructure for tracking quality outcomes and cost performance.

📚 Upcoming CMS Models to Watch:

Specialty Care Models by CMMI (Expected Expansion by 2025)
Enhanced Oncology Care Model (EOCM) with a focus on episode-based payments
Kidney Care Choices (KCC) Model incentivizing nephrologists to participate in VBC

Corporate-Level Management Consulting Empowering Healthcare Small Business

Why Our Membership Model Works

Long-Term Coaching for Measurable Success:

Affordable Access to High-Level Expertise:

Customized and Scalable Support:

Data-Driven Success Tracking:

Discover LexCare Partners: Your Trusted Advisor

LexCare Partners News

Why Need LexCare Partners?

📅 Timeline for Value-Based Care Adoption by Specialists

✅ Current State (2023-2024):

🚀 Short-Term (2025-2026):

📈 Medium-Term (2027-2028):

🩺 Specialties to Transition First

💡 Factors Driving VBC Adoption for Specialists

📢 Challenges Specialists May Face in VBC Transition

🎯 Recommended Strategy for Specialists:

📚 Upcoming CMS Models to Watch:

Contact Us

Our business is a 100% virtual workplace

LexCare Partners

Hours

Subscribe

Corporate-Level Management Consulting Empowering Healthcare Small Business

Why Our Membership Model Works

Long-Term Coaching for Measurable Success:

Affordable Access to High-Level Expertise:

Customized and Scalable Support:

Data-Driven Success Tracking:

Discover LexCare Partners: Your Trusted Advisor

LexCare Partners News

Why Need LexCare Partners?

📅 Timeline for Value-Based Care Adoption by Specialists

✅ Current State (2023-2024):

🚀 Short-Term (2025-2026):

📈 Medium-Term (2027-2028):

🩺 Specialties to Transition First

💡 Factors Driving VBC Adoption for Specialists

📢 Challenges Specialists May Face in VBC Transition

🎯 Recommended Strategy for Specialists:

📚 Upcoming CMS Models to Watch:

Contact Us

Our business is a 100% virtual workplace

LexCare Partners

Hours

Subscribe

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