When a year draws to a close, I find it rewarding and helpful to take a look in the rearview mirror. I like to reflect on what was, what became, and more important, focus on what could be better. First, let me confess that I’m a newbie to the health and human services (HHS)/fee-for-service Medicaid […]
Read More »
Executives in provider organizations are often mission-driven, focusing on maintaining and strengthening their institution so that it can continue to provide critical services to its community. It’s important that you’re careful with the resources that are entrusted to you. So you’ve been deliberate as you’ve looked for ways to optimize clinical and financial performance. You’ve […]
Read More »
In addition to making value-based care more widespread, health reform legislation in the late 2000s set the stage for a massive influx of newly insured patients. These developments are some of the major reasons that provider leaders like you are looking at ways to adjust your care delivery model. It is in this stage of […]
Read More »
It’s no secret that health care providers have abundant opportunities to save. Some estimates put the dollar figure in the hundreds of billions in revenue that is lost due to unnecessary expenses, missed income and inefficiencies each year. Executives can play a vital role here in reclaiming these lost resources. You can analyze and pinpoint […]
Read More »
Health care executives like you are finding themselves in a precarious position. You need to evolve your organization’s payment structure to revolve around value, while still taking advantage of the fee-for-service contracts that pay the bills. Whether you’re an administrator, a clinical leader, a compliance executive, a financial officer or technology chief, how will you […]
Read More »
In the previous Journey to Value post, we discussed the usefulness of population health management (PHM) as a bridge between the volume and value worlds. This final post in the Journey to Value series discusses another program necessity as organizations journey to value: comprehensive data and sophisticated analytics. The fuel for the value-based care is […]
Read More »
In our previous Journey to Value post, we suggested four elements that organizations should consider as they as they determine their roadmap for value-based care. With a roadmap that accounts for market needs, financial impacts, provider network strategies and aligned incentives, organizations are ready to program the milestones around which they will convert to value-based […]
Read More »
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 […]
Read More »
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 […]
Read More »
The pay for value revolution is here, and it means significant changes to the way primary care is provided to patients. But what does it mean for specialists? In risk-based contracts, primary care providers such as family physicians, pediatricians, OB/GYNs and internists are relied on to keep patients healthy and well. Meanwhile, the industry is […]
Read More »
