Category Archives: by Elena White

How to strategize when the strategic goal is unknown

One of the contradictions of value-based care is that we know we need to plan, yet we’re not always sure what we’re planning for. The old adage that “when you fail to plan, you plan to fail” applies here, but planning without seeing the entire picture means you may be taking your organization into dangerous […]
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Health care providers respond to market push toward value-based care

Announcements from several commercial payers along with the Centers for Medicare and Medicaid Services (CMS) early in 2015 around increased efforts to form value-based contracts with providers seemed to point to an impending rise in risk-based contracting. In addition to this increasing market pressure, the reality of hospitals and health systems nationally continuing to see […]
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Engaging in risk-based contracts? Get an actuary’s opinion

Health care providers across the country are looking at ways they can increase their clinical and financial risk exposure under value-based contracts. But if they’re not experienced with risk, they may enter into contracts that put them in difficult situations. The consequences of bad risk contracts could include poor cash flows, non-competitive rates resulting in […]
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Provider executives share insights on the evolution of population health

How can you adapt to population health? If you’re a health care provider, such a question can’t be answered in a sentence or a paragraph—or even an entire article. But providers who are undergoing a fee-for-service to fee-for-value transformation have offered some insight into how and why they’re evolving to become excellent at managing the […]
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