News and Insights

Financial Viability and Cost Improvement

Creating Disruptive Innovation

Numerof Brief

The outlook for private health insurance remains fraught with uncertainty.  After decades of financial success, it’s difficult for many in the industry to think about meaningfully changing the current model beyond responding to the latest reinterpretation of the Affordable Care Act (ACA). However, no business model cast in stone can…

Critical Management Tools for Getting Costs Under Control

Physician Leadership Journal

As the national debate continues over spending, deficits, taxes and the fiscal direction of he country, one point of general agreement is that fundamental change to the American healthcare system is needed: healthcare costs must be brought under control. As hospitals grapple with ways to adapt, physician leaders have a critical…

Diagnosing and Treating Readmissions

H&HN

Hospital readmissions arguably are one of the biggest clinical issues facing healthcare systems today.  Otherwise known as “bouncebacks”, readmissions have proven to be extremely costly, and are taken as a concrete metric of inadequate quality.  According to a September 19, 2013 study in The New England Journal of Medicine, nearly…

Linking Activity to Cost: A Critical Role for the Finance Professional

hfm Magazine

The Supreme Court’s decision to uphold the ACA made it all but certain that targeted reimbursement reductions are on the horizon. The law created the Independent Payment Advisory Board (IPAB) with a mandate to drive down healthcare costs. With the power to modify reimbursement rates and requirements as their principal…

Clinical Care Paths – A Foray into Clinical Decision-Making for the Finance Professional

hfm Magazine

For over two decades, healthcare delivery organizations have devoted extensive resources to cost management in response to shrinking reimbursement. They’ve used vendor consolidation and contract renegotiation to lower supply costs, and shared services to lower overhead. Combined with the wholesale consolidation of hospitals into larger systems with corresponding purchasing power,…