News and Insights

Managing Variation in Cost and Quality

How to Address Cost Outliers

hfm Magazine

The spiraling costs of healthcare in the U.S. have precipitated a tangible backlash — as demonstrated by the passage of the Patient Protection and Affordable Care Act in 2010 — that suggests that demands for better care at lower cost are not simply going to go away. In light of…

Improving the Bottom Line: Prioritizing Cost and Quality Initiatives

Numerof Brief

Imagine the following case… The executive team is meeting to decide which cost reduction projects to fund.  Each has a supporting “business case”, but everyone knows the numbers are soft.  Comparing financial impact across projects is difficult, and debates about assumptions and scenarios to test lead to months spent on…

Improving Margins: New Approaches to an Old Problem

Trustee Magazine

The U.S. healthcare industry is currently undergoing what will ultimately be a radical transformation, driven by unsustainable cost increases, increased regulation, and shifting power relationships among payers, providers, physicians, and patients.  We have reached the point where all four of these key constituent groups have significant economic concerns — providers…

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…

Transparency in Healthcare: Coming to Your Hospital Soon!

H&HN

In August, 2013, Priority Health claimed the title of first health plan in Michigan to publish specific, regionalized health care costs and quality information by procedure, facility and physician.  The company launched this tool so plan members could review and compare prices and quality for more than 300 of the…

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…