News and Insights

Healthcare Delivery and Payers

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…

Three Keys to Defending Your Margins

hfm

Healthcare consolidation took a new turn this year, and in a big way. On top of deals by Anthem and Optum to acquire delivery operations, the formation of the Amazon, Berkshire Hathaway, and JP Morgan (ABJ) healthcare partnership has raised anxiety to unprecedented levels. Margin compression was already a fact…

Rethinking Service Lines in a Value-Based World

The U.S. healthcare landscape is rapidly being reshaped by a variety of economic, political, and socio-demographic forces.  While the issue of health insurance has dominated much of the national dialogue, most agree that changing the way that healthcare is delivered and paid for is needed to get to better care…