3 Ways to Use Hospital Price Transparency Data for Competitive Advantage

by John Harris, Director
and Clare O'Mara, Senior Associate

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Shifting a $1 trillion dollar industry from confidential contracts to publicly published pricing is a massive transformation. In the middle of recovering from the COVID-19 crisis, hospitals are responding to this transformation. Background: The hospital price transparency rules require consumer-friendly tools to help individuals shop for hospital services based on price. They also require hospitals […]

Launched 28 new courses in 2021 – but we’re not done! Here’s what’s next:

Our production team has launched 28 fresh courses this year –  including the Transformation Talks Series in partnership with the American Hospital Association.  Currently, we’re producing courses across several healthcare hot topics, including: Future of Leadership; Philanthropy; and, Diversity, Equity, & Inclusion. With 2022 around the corner, we want to hear what topics are important to you. Click […]

3 Key Factors to Analyze as Cardiac Procedures Move to Outpatient

by Mark J. Dubow, Director
and Ross Shuster, Manager

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By recategorizing procedures previously designated inpatient only, CMS is actively redirecting a significant number of cases to Hospital Outpatient Department (“HOPD”) and community-based ambulatory surgery center (“ASC”) settings. We have discussed the impact this will have on outpatient surgery, and strategies to prepare. This outpatient shift will also affect cardiac services, creating both risks and […]

Continuing to Navigate the Changes in the Medicare Physician Fee Schedule

by Karin Chernoff Kaplan, Director

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The changes in Work RVU (WRVU) values contained in the 2021 Medicare Physician Fee Schedule have the potential for wholesale disruption to productivity-based physician compensation models. To date, the response has varied among health systems, but for the most part, due to pandemic distractions and the sheer complexity of the impact, organizations have kicked the […]

Launching a Community Oncology Center: 5 Key Considerations

by Meredith Inniger, Manager

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Rapid evolution in diagnostics and treatment for cancer care, innovation through genomics and predictive analytics, the continuing shift toward value-based care are hastening the migration of oncology from hospital settings to community-based centers.  This raises the question: Is now the right time to invest in a community oncology center? The experiences of multiple health systems […]

iPro, the Wyoming Hospital Association, & Flex Funds bring education to Critical Access Hospitals

We’ve recently partnered with the Wyoming Hospital Association and the Office of Rural Health to introduce trustee education to 16 critical access hospitals across the state. Thanks to the help of flex fund designations, iPro and CAH leaders are working to elevate governance excellence and help trustees become the very best fiduciaries to their hospitals and communities. […]

Anatomy of a Deal Series No. 3:
The Art of Negotiating a Deal in Healthcare M&A

by Daniel M. Grauman, Managing Director & CEO
and Scott Stuecher, Manager

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So you’ve made it through the request for proposals (RFP) process, an ordeal that can amount to a great deal of (usually digital) paperwork and a series of check-the-box demands, with little, if any, one-to-one discussion with the issuer. Now comes the interesting part: discussions between the healthcare organization that is seeking a partner, and […]

The Surgery Shift from Inpatient – Assessing the Financial Impact

by Mark J. Dubow, Director
and Meredith Inniger, Manager

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Surgery has long been a key driver of hospital profitability. Effectively handling the new Medicare outpatient surgery rule[1] and subsequent care shift to outpatient settings is critical to long term financial success. This rule includes several important policy changes, most notably the elimination of the Inpatient Only List on a phased schedule through CY2024 when […]

AHA: Post-Pandemic Facility Planning: After the Surge

In partnership with the AHA, Episode 8 of Transformation Talks: Post-Pandemic Facility Planning: After the Surge examines design and engineering changes hospitals and health systems may consider to prepare for future crises. What lessons have we learned from the pandemic, such as how to handle sudden patient surges, that can be applied to future facility […]