John M. Harris and Craig E. Holm describe howimplementation of MACRA bring significant strategic implications for hospitals and health systems as well and physicians.
Proactive transformation is critical to your success. This applies across all portions of the health care continuum, yet it is not accomplished through a “one size fits all” formula. Instead, it entails each organization applying its optimal blend of three forms of innovation, and adopting a more comprehensive definition of and maximizing the value delivered to key constituents. Read the […]
Veralon’s Rich Chasinoff and Karin Chernoff Kaplan explain how practice lease arrangements between hospitals and physicians are a way to achieve alignment without a change in ownership.
Nearly every health care business transaction must be based on some measure of fair market value (FMV). Although the attorney’s role in the preparation of a valuation to support a transaction is limited, most attorneys recognize the need to critically evaluate the opinions they and their clients obtain from valuation experts. Attorneys assist in setting expectations, and helping clients understand why their “back of the envelope” valuation may be unrealistic. This article answers questions that lawyers and their clients commonly ask during the business valuation process.
Karin Chernoff Kaplan writes that successful design of and transition to a new compensation model requires careful selection of the physician participants and subsequent training for those who will be involved.
Accountable care organizations are at the forefront of the healthcare industry’s transition to value-based care; those that succeed will provide a leading example for the industry to follow.
John M. Harris and Molly Johnson write that smaller healthcare providers seeking to engage in population health management may well have other options other than a merger or acquisition.
One hundred and six new ACOs were announced in January, bringing the total to over 250. About 4 million Medicare beneficiaries—8 percent of the total Medicare population—are now getting their care within a Medicare ACO. That means ACOs are overseeing about $40 billion of annual Medicare spending. Four million lives is an impressive number for […]
Many hospitals and health systems have made significant investments in physician practice acquisitions and employment. Often, this has been a defensive strategy, pursued without an expectation of direct profits. Instead, their new employers anticipated that these physicians would “pay for themselves” through downstream inpatient and ancillary service revenues once employed. As healthcare reform has progressed, […]
Today’s provider efforts to form clinically integrated networks (CINs) suggest clinical integration is gaining traction. Providers are starting to address the array of opportunities to improve care, lower cost, and receive the associated rewards. We have seen significant movement in five pillars of clinical integration. Payer Engagement Payers are focusing additional funds on value-based arrangements […]