Although there are many ways hospitals and physician practices can use analytic tools and insights to understand and better manage financial performance under value-based contracts, a good place to start is to focus on three methods to reconcile back to payer reports for their value-based payment contracts.
The greatest risk for health systems will be to assume that their leading role in health care is an immutable given. The strategic challenge will be to…
Karin Chernoff Kaplan review the basics – and the importance of – establishing consistent processes for setting up and managing physician compensation agreements and thresholds that avoid regulatory problems.
Across the nation, ambulatory care initiatives are among the top three focal points of C-suite leaders at independent hospitals and healthcare systems, whether their organizations are sole community providers or entities in highly competitive markets. However, many organizations are not achieving the full potential of a well-designed and executed ambulatory care strategy, resulting in lost […]
Many of the physician practices that health systems seek to acquire are owned by physicians who are not particularly interested in selling their practices. These practices often have a strong procedural or technical component; examples include hematology/oncology with infusion treatment, GI practices with an endoscopy facility, orthopedics with physical therapy, and any practice with […]
Total knee arthroplasty (TKA) procedures performed on an inpatient basis have long been an important source of revenue for hospitals, but hospitals should prepare for a decline in that revenue source due to the recent approval of the outpatient setting for TKA. Orthopedics is one of the largest and most profitable service lines at many […]
Many hospitals and health systems may benefit from participation in the Bundled Payments for Care Improvements Advanced program, but there are many points that organizations should address before pursuing this option. When the Center for Medicare and Medicaid Innovation (CMMI) created Bundled Payments for Care Improvements (BPCI), the benefits of participation were straightforward. The program […]
A successful board retreat can energize and unify your organization’s leadership around shared goals and priorities. Here are some ideas for planning a retreat that will engage your board and produce results that will strengthen the organization. Know what you want to accomplish. Getting everyone together takes an investment in time and energy by […]
It’s good for the bottom line when your health system or hospital is included in as many regional payer networks as possible. Brand name recognition can help achieve that. Healthcare organizations with national brand name recognition (think Mayo Clinic, Cleveland Clinic) or regional brand recognition (Northwell Health, Emory Healthcare) have an excellent chance of […]