A Blueprint for Building a ‘Risk Ready’ Healthcare Organization

Post on April 1, 2019 in Insights, and Value-Based Strategy

Facing growing pressure from insurers to assume more financial risk, healthcare providers are exploring ways to better manage cost and utilization through risk-based contracts. Unfortunately, the approaches these organizations have adopted are too often inadequate, because their executive teams are giving most of their attention to the contract itself and not enough thought to what ...Read More

Real Versus Perceived Need: Barriers to Success for Digital Health Innovation

Post on March 18, 2019 in Digital Innovation & Analytics, and Insights

Recently, I had the pleasure of spending some time with Kiri-Maree Moore, CEO and founder of Decision Velocity Global. As an adviser and strategist, Moore works with organizations to help develop sustainable and scalable ecosystems that help them meet their strategic goals while adding value to humanity. One of the core values of Moore’s brand ...Read More

Global Economic Summit

Post on March 15, 2019 in Events

Principal and CDIO Shaillee Chopra will be giving a keynote speech on “Ensuring Success in Today’s Digital World: Cracking the Digital Strategy for Your Company” on April 11 and moderating and participating on the panels below on April 13 at the Global Economic Summit in New Delhi. Moderating panel:  In Conversation With Leaders of the ...Read More

LinkedIn Chat with HFMA

Post on March 12, 2019 in Events

Join us and share your comments on May 6 during a LinkedIn chat with the Healthcare Financial Management Association’s (HMFA’s) editors and Managing Partner Daniel Marino as they discuss Mr. Marino’s upcoming presentations at HFMA’s Annual Conference. The chat will take place at noon Central time on HFMA’s LinkedIn company page.

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

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