News and Insights

Healthcare Delivery and Payers

The Future of Care Isn’t in Your Hospital

AJMC

It’s a tough time to be a health system chief executive officer (CEO).  Rising consumerism, new competition, and payment models designed to keep patients out of acute care are forcing hospital-centric enterprises to rethink their delivery models.  Articles and news feeds rife with stories about hospital closings, layoffs, and the…

Accelerating the Shift of Care to Lower Cost Settings

AJMC

The migration of care from inpatient (IP) to outpatient (OP) and ambulatory surgery center (ASC) settings is revolutionizing healthcare delivery. The trend began with cataract and cosmetic surgery moving from IP to OP and ASC settings more than a decade ago, and now the list of ASC procedures has grown…

The Numerof 2019 US Healthcare Delivery Outlook

Infographic

We expect continued turbulence across healthcare delivery in 2019, driven by policy uncertainty at the top, and continued pressure for affordability and quality care by employers, consumers, and payers. Prodded by MACRA and commercial payers, the use of care models that incorporate accountability for cost and quality is slowly expanding.…

The Numerof 2019 US Health Insurance Outlook

Infographic

As our Numerof 2019 US Health Insurance Outlook infographic illustrates, this year’s story for health insurance will be about dramatically changing roles and relationships. You’ll engage in new and different ways with providers, consumers, employers, regulators, medical device makers and pharmaceutical manufacturers. All this will come in the context of…

Building a Differentiated Center of Excellence

Along almost every major urban expressway, billboards extoll the virtues of leading area medical institutions.  Smiling faces accompanied by messages like “We put our patients first”, or “Ranked #1 in cardiac care for the 5th straight year” are designed to reassure potential patients that they needn’t look further for outstanding…

Unlocking the Value of Clinically Integrated Networks

Becker's Hospital Review

There are a number of strategic reasons for establishing a clinically integrated network (CIN), but there is only one that offers a path to sustainability. That reason is to provide a competitive vehicle for contracts with payers and employers that would otherwise be unavailable because of legal constraints. Indeed, CINs…