News and Insights

Healthcare Delivery and Payers

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…

The Future of Care Isn’t in Your Hospital

It’s a tough time to be a health system 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 shuttering of underutilized…

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…

The Numerof 2018 US Healthcare Delivery Outlook

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We expect continued turbulence across healthcare delivery in 2018, driven by policy uncertainty at the top and continued pressure for affordability and quality care from 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. As our…