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Engaging in Risk-Sharing Agreements with Providers

With spiraling cost inflation and outcomes that lag many other developed economies, the US government’s healthcare insurance authority (CMS), is driving reform aimed at better quality and lower cost, and private payers are following suit. Both state and private payers are moving toward alternative payment models, like value-based payments, that…

Building the Infrastructure to Support Value-based Care

Mounting pressure to deliver better care at lower cost is driving profound change across healthcare. Consolidation, new sources of competition, and new payment models like bundled pricing and population health demand new priorities in operational and strategic management. Success will depend on leadership realigning organizational expectations and accountabilities with the…

What Population Health Means for Manufacturers

It’s no secret that the healthcare industry is under growing pressure to reduce the cost of care while improving quality. Linkage of payment for healthcare to the cost and quality delivered is the idea behind value-based payment frameworks, and is the driving force behind today’s rapidly changing healthcare landscape. Such…

To Remain Independent or Not? That is the Question

Provider consolidation has been accelerating at a rapid clip in the healthcare industry in recent years.  In fact, the pace has increased 14% on average in each of the last seven years, impacting all delivery system types.1 “Mega-mergers” involving combined assets of 2B or more are growing more frequent, too. These…

The Role of Post-Market Studies in Market Access

eyeforpharma

As payers and providers continue to explore ways to reduce healthcare spending and improve patient outcomes, there is a growing trend to require more evidence of product safety and effectiveness across the product lifecycle.  For manufacturers, the failure to develop such data can result in reduced formulary access and lower…

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…