News and Insights

Network Strategy and Provider Alignment

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…

How Payers Can Promote Accountable Care without an ACO

Numerof Brief

The Accountable Care Organization (ACO) was promoted by the Affordable Care Act as one way to address the spiraling cost increases and disappointing quality outcomes that had characterized U.S. healthcare to date.  The bill offered financial incentives to encourage adoption of the ACO format, and appears to have been successful…

7 Steps to Population Health

Becker's Hospital Review

In an effort to broaden availability of healthcare insurance coverage and to control spiraling premiums and underlying costs, Congress passed the Patient Protection and Affordable Care Act (PPACA) in 2010.  While the law’s ability to address these issues has been called into question, the legislation was ultimately an indicator of…

Engaging Physicians to Improve Quality and Lower Costs

H&HN

Reform is driving an industry redefinition of “value” that challenges traditional healthcare business models. As demand for better outcomes at lower cost continues to grow, healthcare organizations that lack evidence-based value propositions will struggle to compete. In order to adapt to this new environment, healthcare executives will need to move…

Accelerating Network Adoption of Bundled Pricing

Numerof Brief

In February 2014, the Centers for Medicare & Medicaid Services (CMS) announced it would consider additional health care organizations for participation in its Bundled Payments for Care Improvement (BPCI) initiative.  CMS’ continued support for this initiative clearly suggests that policy makers believe bundled payments holds promise for managing costs and…