What is a PHO in Healthcare?

Why Opt For Physician Hospital Organizations (PHOs)?

PHOs outdo Physician Organizations (POs) in their integrative factor. They address the common healthcare interests of its member hospitals and physicians. Particularly, PHOs bridge gaps in logistic arrangements in care delivery.

Read More: Top 5 Administration Benefits of a Superior PHO Solution

For one, PHOs facilitate the credentialing process for its member physicians. Credentialing is the process of verifying a healthcare provider's qualifications, experience, and professional background to ensure that they meet the standards of a healthcare organization or insurance plan.

PHOs assist member physicians with credentialing through administrative support, information access, and resource provision. This allows physicians to prioritize delivering high-quality care while ensuring healthcare organizations collaborate with qualified providers.

This is because PHOs prioritize quality. PHOs extend a helping hand to ensure that patients receive proper care following industry standards and their respective managed care arrangements. PHOs also address operational needs and support workflow shifts to more value-based care.

To further this cause, PHOs act as middlemen between provider networks and Accountable Care Organizations (ACOs), even implementing protocols that promote the quality and efficiency of care. PHOs can also spearhead efforts that improve cost-effectiveness through education and operational improvements, therefore providing a functional extension that offers opportunities for improvement in the industry.

How Do PHOs Address Modern Industry Concerns?

PHOs allow members to work collaboratively to address common issues. For instance, a cohesive physician-hospital structure can reduce unnecessary tests and procedures that drive up costs. These seamless operations pave the way for efficient and cost-effective healthcare delivery systems that curb rising healthcare costs.

PHOs can also address poor care quality. By fostering collaboration and sharing information, healthcare professionals can help develop best practices and ensure that patients receive high-quality treatments. Coordinated care between different providers reduces the likelihood of medical errors.

Lastly, PHOs can help improve access to care, particularly in underserved communities. Partnering with physicians expands the range of services available to patients. PHOs can lead community health initiatives such as disease prevention and management programs to further this cause.

Read More: The Significant Relationship between PHOs and Quality of Care

Why Digital Reinforcements Strengthen PHOs

PHOs have a lot on their plate. Going digital can help healthcare professionals improve their operations, enhance patient care, and achieve better outcomes while reducing costs and increasing efficiency.

QuickCap 7 can be your trusted partner in building an effective healthcare management strategy for your PHO. With QC7, you gain access to a suite of unique functionalities and customizable workflow features tailored to meet your needs.

Whether you require robust administrative support, precise financial tracking, streamlined authorization processes, or a combination of all three, QC7 offers a unified digital platform to revolutionize your operations. Say goodbye to fragmented systems and hello to an all-in-one solution that empowers your PHO to thrive.

Take Charge of Your PHO's Success with QC7



References: 

1. Giardino, Angelo P., and Orlando De Jesus. “Managed Care - StatPearls - NCBI Bookshelf.” Managed Care - StatPearls - NCBI Bookshelf, October 24, 2022. https://www.ncbi.nlm.nih.gov/books/NBK564410/.
2. Accountable Care Organizations (ACOs): General Information | CMS Innovation Center. “Accountable Care Organizations (ACOs): General Information | CMS Innovation Center,” April 13, 2023. https://innovation.cms.gov/innovation-models/aco.
3. PubMed. “Provider Integration: PO (Physician Organization) versus PHO (Physician Hospital Organization) - PubMed,” June 1, 1995. https://pubmed.ncbi.nlm.nih.gov/10142554/.
4. Value-Based Care: What It Is, and Why It’s Needed | Commonwealth Fund. “Value-Based Care: What It Is, and Why It’s Needed,” February 7, 2023. https://doi.org/https://doi.org/10.26099/fw31-3463.