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

Building the Blueprint to Support Risk-Based Contracts

Post on January 22, 2019 in Events

Daniel Marino, managing partner for Lumina Health Partners, and Meredith Duncan, executive director and COO for Aetna, will present “Building the Blueprint to Support Risk-Based Contracts” on Sunday, June 23 from 12:30 p.m. to 3:30 p.m. at HFMA’s 2019 Annual Conference. Learn more and register here.    

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

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