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
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
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
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.
Friday, March 8 is International Women’s Day, and the Empowering a Billion Women by 2020 (EBW) Foundation will celebrate women entrepreneurs globally by highlighting women from multiple continents via a Facebook Live Broadcast at 10 a.m. CST with the #WatchHerRise entrepreneur series. Anna McCoy, CEO and host of Friday Live with Anna (@drannamccoy) on Facebook, ...Read More
By now, almost all healthcare providers have been affected by the shift to value-based care and are either working with or are aware of hierarchical condition category (HCC) coding. It is practically impossible to participate in Medicare and not be subject to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the Consumer Assessment ...Read More
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
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
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
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
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
Principal John Malone and Ann Scott Blouin, RN, PHD, president at PSQ Advisory, will present “The Business Case for Quality: Why Investing in Quality Ultimately Results in Better Financial Performance” on March 13 at 11:30 a.m. Central. Learn more and register here.