Covid-19: A prediction challenge like no other Covid-19 will challenge hospital leaders in many ways. But no one expected that a key challenge would be in a basic skill every hospital administrator mastered early in their career – estimating volume. Hospital leaders are accustomed to estimating volume. They do it all the time – for […]
Ambulatory care has grown dramatically in recent years, and all signs point to continued growth. In 2017 (the most recent year for which data is available), net outpatient service revenue equaled 95% of net inpatient revenue, an increase from 83% in 2013.[1] Clearly every hospital and health system must have an effective ambulatory care strategy. […]
What is the Primary Care First Program (PCF)? PCF is a voluntary 5-year CMS Advanced Alternative Payment Model (APM) with two care models—one for “Advanced” primary care and one for high-need, seriously ill Medicare beneficiaries (Seriously Ill Population, or SIP). The latter is aimed primarily at providers who typically provide hospice or palliative services. Practices […]
by Scott Stuecher, MHA, Veralon
Healthcare megamergers are picking up steam, with the merger of Aurora Health Care and Advocate Health Care completed in 2018 and the merger of Catholic Health Initiatives and Dignity Health (now CommonSpirit Health) finalized earlier this year. Optum also completed their acquisition of DaVita Medical Group in June of this year. It’s a trend that […]
by Amanda Brown, MHA
The move toward value-based contracts is happening “in small doses,” a 2018 MGMA survey found. While nearly three out of five hospitals participate in value-based contracts, just 34 percent of healthcare reimbursement is tied to value. This presents healthcare leaders with a dilemma: How can we engage physicians in value-based payment models when so little […]
by Karin Chernoff Kaplan, Director
The use of CPT code modifiers to adjust work relative value units (wRVUs) under physician compensation models has become a universal practice among hospitals and health systems that employ physicians—and with good reason. The risks of not applying CPT code modifiers—such as an inability to objectively measure performance—are significant. Why should healthcare organizations that employ […]
by Amanda Brown, Manager, and Amanda Kueh, Analyst
CMS has opened applications for a second cohort of BPCI Advanced (Bundled Payment for Care Improvement-Advanced) participants in April. This initial application step gets you valuable data, and time to decide whether to pursue participation. Advantages of applying include: No obligation to participate. You have time (likely until fall 2019) to decide whether to sign […]
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…
by Meredith Inniger, Manager
Open PDF file > It’s healthcare’s version of dating: sizing up another organization for a potential partnership or merger. Seventy-one percent of healthcare leaders expect their organization’s merger, acquisition, or partnership activity to increase over the next three years. With continued changes to healthcare’s competitive landscape, hospital mergers and acquisitions (M&As) reached a record high […]
by John M. Harris, Editor
Meredith Inniger, Editor
and Contributing Authors
Meredith Inniger, Editor
and Contributing Authors
Healthcare Strategic Planning, Fifth Edition provides guidance for every stage of strategic planning and implementation: analyzing the environment, crafting strategy, putting the plan into action, and assessing the results. It describes the crucial decisions that must be made and the preparatory steps that must be taken for effective planning. This new edition contains the most recent […]