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As Business and Payment Models Evolve, Nimbleness Trumps Scale

AJMC

In February, Dallas-based health systems Baylor Scott & White and Memorial Hermann decided to call off a proposed merger, claiming they were “capable of achieving [their] visions for the future without merging at this time.” What looks like a bit of face-saving public relations language might be truer than it…

Population Health Adoption has Stalled, but Health Care is on the Brink of Change

Morning Consult

The writing is on the wall: Today’s health care system is antiquated and inefficient, and industry leaders can’t shy away from change. Alongside local, state and federal officials, consumers and business owners outside the health care sector are demanding answers — questioning outrageous hospital bills and prescription drug prices, plus wondering why they…

Accelerating the Shift of Care to Lower Cost Settings

AJMC

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