Hospital and health system leaders face uncertainty and an array of operational, financial, and regulatory challenges as we move into 2025. Uncertainty of the near and long-term impact of the election on federal and state policy issues, notably anti-trust, reimbursement rates and potential supply chain disruption Worsening payer mix due to expected tightening of Medicaid […]
CMS announced its latest push towards value-based care in the spring with the Transforming Episode Accountability Model (TEAM). TEAM is a bundled payment program focused on five surgical episodes of care and is mandatory in selected markets. Now that the 2025 IPPS final rule is in place, we can start to assess the impact of […]
There is a new kid on the block in the CMS alphabet soup of value-based payment models. The Transforming Episode Accountability Model (TEAM) pushes hospitals and health systems to better manage five surgical episodes of care for the initial admission and the thirty-days following. TEAM is a mandatory model for selected markets launching January 2026. […]
As value-based care evolves, clinically integrated networks (CINs) increasingly see the importance of engaging specialists to improve performance in their VBC contracts. Veralon recently completed a survey of CIN leaders to explore how the approaches of these organizations have shifted, and how CINs are engaging specialists.
Health systems are beginning to address the many issues that come with the physician enterprise. Rudd Kierstead, Director, Veralon, speaks with Victoria Sheridan, Counsel, Corporate & Regulatory Affairs, Atlantic Health System, about some of the motivating issues, key factors, and main goals related to integrating the physician enterprise. They also discuss issues related to governance […]
Strategic planning is not a new concept in healthcare, but the practice is constantly evolving with the industry. Each organization needs to develop a planning process that fits its internal culture and process, building off the fundamentals of strategic planning. The graphic below showcases the healthcare strategic planning process and its four major activities. This […]
The median loss per physician employed by a hospital or health system totaled more than $249,000 in 2023. Now, as hospitals face their biggest financial crisis ever, hospital leaders must consider: “Is there a better structure for our physician enterprise?” The pain points that hospitals and physicians experience under an employed physician enterprise model are […]
Every organization wants a strategic plan that’s dynamic and doesn’t just “sit on a shelf.” But how do you keep it relevant and focused over three to five years of dynamic change? Review and update the plan each year, but don’t waste time diving too deeply. When preparing for an annual update to the plan, […]
Leaders of hospitals and health systems continue to face several challenges from 2023 as well as an array of difficult new challenges as they move into 2024. Briefly, the challenges lying ahead include: Margins and cash position remain “weak” with slow volume recovery, constraining investment in new initiatives Clinical workforce shortages continue More competition from […]
Leaders of hospitals and health systems continue to face several challenges from 2023, as well as an array of difficult new challenges as they move into 2024. Briefly, the challenges that lie ahead include: Margins and cash position remain “weak” with slow volume recovery, constraining investment in new initiatives Clinical workforce shortages continue More competition […]