The Benefits of Pursuing a Clinical Integration Strategy

Post on January 23, 2019 in Clinical Transformation, and Insights

Clinical integration emerged as a healthcare-delivery strategy in the late 1990s, when the Federal Trade Commission and the Department of Justice put forth guidelines to ensure that healthcare systems, hospitals, and physicians that were affiliated in larger structures could do so in ways that would serve the public interest and not be anti-competitive. The primary ...Read More

Securing Tertiary and Quaternary Service Lines: The Case for Community Care Integration

Post on January 17, 2019 in Clinical Transformation, and Insights

Financial challenges again rank No. 1 on the list of hospital CEOs’ top concerns, according to the American College of Healthcare Executives’ annual survey of top issues confronting hospitals. In addition, Moody’s recently confirmed its negative outlook for nonprofit hospitals, citing weak volume, reimbursement constriction, and increased numbers of Medicare patients. Financial issues are especially ...Read More

Why ACO Compliance Is a Crucial Element of Achieving Success in 2019

Post on January 8, 2019 in Clinical Transformation, and Insights

With recent changes to the Medicare Shared Savings Program (MSSP), all accountable care organizations (ACOs) need to pay closer attention to their compliance obligations and be prepared to make changes quickly. Each time the Centers for Medicare and Medicaid Services (CMS) updates its MSSP rules, as it did in 2016, it frequently follows these changes ...Read More

Top Benefits of Starting a CIN

Post on June 18, 2018 in Clinical Transformation, and Insights

There should be no question in anyone’s mind that healthcare payments are evolving from fee-for-service to fee-for-value. The Centers for Medicare and Medicaid Services (CMS) recently issued proposed changes to the Medicare Shared Savings Program (MSSP), and the U.S. Department of Health and Human Services (HHS) has announced new efforts regarding mandatory payment models that ...Read More

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