Tag Archives: hospital

What health care execs can learn from Billy Beane

“We are in the midst of a generational business model transformation. It takes a strong man or woman to stand up in front of an organization and say we are going in a different direction.” Health care consultant Ted Schwab, formerly of Oliver Wyman, is quoted in the Optum eBook Moneyball, emphasizing the importance of […]
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Is a provider-led health plan a good fit? Evaluate 6 areas to find out

To drive down costs and improve care through value-based models, one must have a deep understanding of the population they serve. Health care providers have this knowledge. Their familiarity with the demographics, economics and general needs of their communities means some are well-positioned to launch their own provider-sponsored health plans (PSHP) and have a sense […]
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MACRA is big for doctors. What about hospitals?

With the Medicare Access and CHIP Reauthorization Act replacing the sustainable growth rate, changes are coming for physicians. But will MACRA impact facility providers? Consultants at Optum say yes. Specifically they say hospitals and health systems should prepare for changes to referral patterns and readmission rates. Jay Hazelrigs, vice president and lead actuary at Optum, […]
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5 -priorities for groups pursuing a risk-based strategy

When you’re used to being paid based on a tally of procedures, it can be daunting to consider taking on the financial responsibility for outcomes. Where do you start? Or if you are already bearing some risk, how do you prepare to accept more? Organizations pursuing a risk-based strategy need to address five key areas […]
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Timing a transition to value-based care

Once providers decide they will transition to value-based care, the next question is when should they make their move. Providers can do more than pick an arbitrary date. There are tools to help organizations make informed decisions on transition timing. Providers can conduct a financial impact assessment. Doing so allows groups to model several factors […]
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Identify six focus areas to manage business model changes

Providers can better manage enterprise-wide care transitions by addressing six key focus areas. As provider organizations map their strategy for transitioning into a value-based care organization, they may find they need to redefine their whole business model. It’s a big undertaking. Providers can make it more manageable by breaking the work into six categories. Physician […]
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Health system id’s source of new ideas for reform

Proponents of Lean process improvements can’t seem to emphasize enough the importance of engaging all employees and empowering them to become problem solvers. Books, academic reports and articles all address the issue. Their message? Good ideas can come from anywhere – from a newly hired housekeeper to a ready-to-retire nurse manager. The CEO of a […]
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Tap into the “greatest intellect in the health care industry”

When a health system surveyed its physicians, it asked a question some might find more suited to MBAs than MDs. North Carolina-based Wilmington Health asked: Is the rate of change within Wilmington Health less than the rate of change in the industry? It’s a question focused on competition and market dynamics — elements of health […]
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Redefine acute care to combine fee-for-service (FFS) with care management.

Badly broken bones, appendicitis, hemorrhages and head injuries mean there will be a need for acute care hospitals no matter how the healthcare industry changes. But we need to change how we think about acute care in relation to the rest of healthcare. A traditional definition says acute care is the opposite of chronic or long-term care. […]
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