A high volume of mergers and acquisitions between and among hospitals and health systems continue to dominate the healthcare landscape, with an increasing number of transactions anticipated in 2018.1 The benefits of consolidation are well known: Enhanced access to care and increased market share by providing specialty or subspecialty physician coverage previously unavailable or by […]
For most hospitals and health systems, orthopedic services are a major contributor to the bottom line and indirectly support many other critical acute care services. Demand for orthopedic services is increasing—but so is competition among providers. To protect orthopedic share and margin in this environment, it will be essential for health systems and hospitals to […]
What CMS bundled payment initiative are we on? It can be hard to keep track. First there was the Bundled Payments for Care Improvement (“BPCI”) model, a voluntary bundled payment program beginning in 2013. Then in 2016, CMS introduced the CJR (Comprehensive Joint Replacement) bundled payment model, which was initially mandatory in 67 MSAs […]
When health system leaders are asked how they intend to make their ambulatory networks more consumer friendly, many point to their organization’s new one-stop ambulatory care center, on-line scheduling, patient portal or upcoming telehealth plans. In other words, they refer to specific tactics or initiatives rather than describing an overarching strategy for consumer engagement. […]
Performing due diligence can seem like a “check the boxes” exercise as organizations verify material facts, gain a clear view of the risks involved, and more. But there is strategic value in due diligence, especially in identifying the impact of the transaction on existing partnerships and relationships. Such insight empowers post-transaction planning and sets the […]
Newton’s first law of motion states, in part, that a body in motion will remain in motion at the same velocity and direction unless acted on by an external force. Organizations tend to behave in the same manner. The advent of new leadership provides a moment of opportunity when a new CEO can set […]
Hospital M&A deals continue at a rapid pace. Evaluating a prospective deal requires a more detailed process of transaction due diligence than ever before, as tightening reimbursement and pressures to lower costs mean decreasing margins for error in decision making.
In today’s healthcare environment, convenient access to ambulatory services is more important than ever before. In part due to the introduction of value-based payment models that reward providers for lowering the total cost of care for patients, inpatient volumes in many markets have been flat or declining for several years. Success under value-based payment […]
There has been tremendous growth in freestanding emergency departments (FSEDs), with a more than 100% increase in the number of such EDs between 2008 and 2016. The popularity of FSEDs is rooted in their potential to increase community access to vital healthcare resources. Consumers perceive them as having more extensive clinical capabilities than an urgent […]
We examine how to improve the negotiating position of hospitals and health systems entering into contracts with physicians, while ensuring compliance.