News and Insights

New Payment and Delivery Models

Accelerating the Shift of Care to Lower Cost Settings

AJMC

The migration of care from inpatient (IP) to outpatient (OP) and ambulatory surgery center (ASCs) 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…

Six Keys to Focusing on Social Determinants with the Biggest Economic Impact

FierceHealthcare

Historically, the incentives built into fee-for-service (FFS) payment models actually encouraged providers to ignore social determinants of health (SDH) that impact health outcomes. For example, providers were financially rewarded when “frequent flyers” were readmitted, and it was easy to rationalize such factors as “out of scope”. Ignoring vulnerable populations’ socioeconomic…

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…

3 Best Practices for Partnering With Post-Acute Providers for Better Care

H&HN Daily

Hospital executives are facing a relatively new challenge: managing the financial risk of bundled or capitated payment after a patient is discharged. Now that post–acute care providers are an extension of a hospital’s care delivery model, their performance has direct implications for the hospital’s reputation and bottom line. Not only…

Numerof State of Population Health Survey

Population health management has become a national topic of conversation, but to date little effort has been devoted to tracking the actual progress that’s been made toward this new model of care. Now in its fourth year, Numerof’s State of Population Health survey provides an in-depth, national look at the…