How to Achieve a Return on an EHR

Post on March 1, 2019 in Digital Innovation & Analytics, Insights, and Value-Based Strategy

In the past decade, many large-scale EHR implementations have led to drops in revenue and operating income, and reductions in physician productivity have been one factor in these declines. Faced with negative ROI on a sizable investment, many organizations have responded by attempting to rebuild productivity through targeted initiatives. Common efforts include provider training, EHR ...Read More

New MSSP Rule: Leveraging Analytics Best Practices to Measure and Predict ACO Performance

Post on February 12, 2019 in Insights, and Value-Based Strategy

The Centers for Medicare & Medicaid Services (CMS) published its Medicare Shared Savings Program (MSSP) final rule in December 2018, and the final rule overhauls the MSSP and takes a new approach to transitioning providers to performance-based risk arrangements under accountable care models. A National Association of ACOs survey released in May 2018 indicated that 71 percent of the ...Read More

Medicare Physician Fee Schedule Final Rule: 3 Must-Do Steps for Physicians

Post on January 25, 2019 in Insights, and Value-Based Strategy

The Medicare Physician Fee Schedule for 2019 includes a variety of new policies—and new revenue opportunities for providers if they take a few key steps. On Nov. 1, the Centers for Medicare & Medicaid Services (CMS) released the 2019 final rule for the Medicare Physician Fee Schedule. This year’s changes, and prospective future changes, support ...Read More

Why Clinically Integrated Networks are Essential on the Journey to Value-Based Care

Post on January 24, 2019 in Clinical Transformation, Insights, and Value-Based Strategy

The implementation and use of clinically integrated networks (CIN) continues to be an essential strategy in the journey to value-based care. The healthcare delivery system continues to become more and more complex, with new technologies, ongoing changes in the competitive landscape with mergers, acquisitions, and partnerships, and challenging payer contracts that are heading to real ...Read More

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

The Way Forward with CMS’s Pathways to Success

Post on January 4, 2019 in Insights, and Value-Based Strategy

On Dec. 21, the Centers for Medicare and Medicaid Services (CMS) announced its final rule overhauling the Medicare Shared Savings Program (MSSP) to fundamentally change the way ACOs share in savings and take on risk. The new program, called Pathways to Success, contains several significant changes that ACOs will need to address. These include moving ...Read More

Lumina Health Partners Joins Forces with Empower Billion Women (EBW) to Support Women Entrepreneurs

Post on January 4, 2019 in Insights

At Lumina Health Partners, we are committed to our core values of integrity, collaboration, value-creation, and generosity through social impact. We believe investments in programs that provide women with opportunities to better their health, education, and gain financial independence have effects beyond an individual. A woman business owner has the capacity to multiply the impact ...Read More

Last Chance to Preview CMS Physician Compare Website Performance Data

Post on January 3, 2019 in Insights, and Value-Based Strategy

The Centers for Medicare and Medicaid Services’ (CMS) Physician Compare website helps beneficiaries find and compare physicians and other clinicians who are enrolled in Medicare, allowing individuals to make informed healthcare decisions. We all know how important it is for clinicians to maintain a positive reputation on social media and websites like Physician Compare. Before ...Read More

How to Determine a Physician Engagement Strategy for Your Market

Post on January 2, 2019 in Insights, and Value-Based Strategy

Hospitals, health systems, and physician practices must find ways to adapt to the quickly changing market forces around them. Sources of change include value-based contracting, provider competition, consumerism, changes in government and commercial payment models, health system regionalization, government regulation, and technological innovation. Health systems and physicians increasingly are finding it in their best interests ...Read More

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