News and Insights

New Payment and Delivery Models

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 third year, Numerof’s State of Population Health survey provides an in-depth, national look at the pace…

Adapting the Commercial Process to the Evolving Healthcare Delivery Landscape

eyeforpharma

In July 2016, CMS’ announced that it plans to initiate a mandatory bundled-payment program in cardiology that parallels its current orthopedic bundled pricing program. This is another indication of CMS’ commitment to alternative payment models that make delivery organizations financially accountable for the cost and quality of care they provide.…

Payment Reform: Preparing to Go At-Risk

The American Orthopaedic Association

Episode-based (bundled) or capitated payment for delivery of quality care across multiple providers can be a significant stimulus of lower costs and improved clinical outcomes.  Implicit in such approaches is that it incentivizes better care coordination and cost-effective decision making.  The flip side of this equation is, of course, that…