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

  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 …Read More

The Way Forward with CMS’s Pathways to Success

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

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

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

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

Happy—and Healthy—Holidays Begin with Population Health

Several years ago, I was working with a client reviewing quality and cost measures when we identified an individual who was a “frequent flyer,” or high utilizer, of the emergency department (ED). Upon further investigation, we learned that this person was seeking shelter and a hot meal, and he found the ED to be the best place to access both. …Read More

Top Benefits of Starting a CIN

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

5 Easy Steps to Successful Change Management Communication

The corporate roadside is littered with failed change-management efforts, and a major contributing cause is ineffective communication. Maybe it’s a new software system that’s known to improve productivity, but the expected users are not engaged, and training is inadequate. Or, perhaps the company wants to move from a divisional org chart to a matrix reporting …Read More