by John Harris, Director & Carole Graham, Director of Operations & Talent Development
HFM blog
June 2013
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New payment models offer an unprecedented opportunity to reward physicians for their efforts to improve quality and cost performance. That’s the good news. But when you accept the role of distributing funds to physicians, you had better set it up right. The funds used to reward physicians often come in the form of incentives or […]
by John Harris, Director
HFM blog
January 2013
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Many new revenue models—including accountable care organizations, bundled payments, and pay for performance—are intended to generate a pool of surplus/incentive funds. Often, this pool will be split between a hospital or hospitals and physicians, and then the physicians’ pool will be allocated among participating physicians. Part of developing a program under any new revenue model […]
by Daniel M. Grauman, Managing Director & CEO and Stuart Schaff, Manager
HFM blog
August 2014
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Many healthcare organizations seem to have short memories when it comes to practice acquisitions and physician employment. In these organizations, board members and even C-suite executives quickly grow impatient with reported losses on new or expanded physician enterprises, forgetting that the original rationale behind the acquisitions was less financial (e.g., contributing direct revenue to the […]
by John Harris, Director & Carol Davis, Principal
HFM Blog
February 2016
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The forces that transformed taxi service and video distribution are now transforming health care. In the manner of Uber and Netflix, disruptive innovators are revolutionizing how healthcare consumers access services, as well as how providers organize and deliver care. The impact can be swift and profound. In December we examined two types of disruptors in health care: revolutionized […]
by Daniel M. Grauman, Managing Director & CEO & John Harris, Director
HFM Blog
December 2013
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As the employers of many primary care physicians, hospitals and health systems must decide whether to move toward a Patient-Centered Medical Home (PCMH) model of care or stick with traditional practice models. A PCMH can help with a crucial new task: reducing costs and meeting quality targets through better management of chronically ill patients. Interestingly, […]
by John Harris, Director & Molly Johnson, Manager
HFM blog
March 2015
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Should I stay or should I go? If I go there will be trouble And if I stay it will be double. -The Clash In the next several months, more than 200 Medicare Shared Savings Program (MSSP) ACOs face a big decision. What had looked like a simple choice to “stay or go” will be […]
by Karin Chernoff Kaplan, Director
HFM Blog
April 2014
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Health systems continue to employ increasing numbers of physicians. By maintaining a stable pool of physicians, they hope to be able to respond to cost-of-care and quality initiatives under new payment models. We are often asked, “What is the ideal length of the employment term?” If there is a competitive environment for recruiting physicians […]
by Karin Chernoff Kaplan, Director & Stu Schaff, Manager
HFM Blog
June 2014
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In the past decade, emergency departments (EDs) became the front door to health care for a sizable number of Americans. The trend is well known. A recent report by the RAND Corporation points to research findings indicating that utilization of hospital EDs grew almost double the rate of U.S. population growth between 2001 and […]
by John Harris, Director & Idette Elizondo, Manager
HFM Blog
January 2015
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As a Zen master might say, “Change must come from within.” Everybody can point to fundamental problems with healthcare delivery, especially for low-income populations. But managed-care rewards and penalties and other efforts have not been enough to transform the delivery system. New York State is working to encourage “change from within” through its Delivery […]
by Karin Chernoff Kaplan, Director & Denise Palencik, Senior Associate
HFM Blog
February 2015
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In evaluating the fair market value (FMV) of healthcare entities, we often are asked why we do not adjust the revenue stream of the business being evaluated to reflect the payment rates of the potential buyer. The answer is based on the Stark and Anti-Kickback statutes, and in the difference between FMV and strategic […]