Thought Leadership – Value-Based Care

What Your Doctors Need to Know to Prepare for MACRA and MIPS

Numerous interactions with clients led us to the conclusion that there are basically three groupings of physicians when it comes to MACRA and MIPS. The first, and perhaps the largest, group is not familiar with MIPS and MACRA at all – or the impact that the new Medicare physician reimbursement program may have on them. […]

Webinar: MACRA and MIPS: Ready or Not, Here They Come!

A recent survey confirmed our impression based on client interactions – many physicians are not familiar with MIPS and MACRA … or the significant implications. Others think that the new payment model implementation is several years away so there is plenty of time to fret. In truth, time is of the essence. The initial performance […]

Webinar: Direct Contracting – The Essential Strategy

Most hospitals make all of their profits from privately insured patients, struggling to break even from government payers and self-pay. But ironically, most hospital executives have little, if no, relationship with the employers who fund these private-pay patients. That needs to change. And the investments hospitals have made in physician networks can be a key […]

Stop Leaving Money on the Table: The Essential Strategy to Direct Contracting

Hospitals systems struggle financially partly because they fail to analyze where their profits come from.  Those profits come from employers. Our average client loses on Medicaid.  Loses on self-pay.  Most lose money on Medicare.  Many think they make money through insurers.  But a new mentality is needed, one that looks beyond insurers to the root […]

Webinar: Short Overview of Clinical Integration Strategy

Managing Partner David Miller quickly details, in this 10-minute webinar, HSG’s approach to helping clients build a clinical integration strategy and its other approaches to physician integration and strategic planning.

Webinar: Next Generation ACO Considerations

With the May 2nd deadline for a non-binding letter-of-intent for CMS’s Next Gen ACO Program looming, organizations across the country are working to understand whether or not to devote the time and resources to exploring NGACO participation.  This 30-minute webinar from HSG focuses on the differences in the NGACO program from previous MSSP tracks and […]

ACOs as Precursor to Clinical Integration

Medicare ACOs are a great starting point for your clinical integration (CI) strategy. First, they require discipline when it comes to creating CI infrastructure. The application process for the MSSP ACO addresses 80-85% of the issues you will need to address to be clinically integrated per FTC criteria. Second, Medicare ACOs come with legal shields. […]

Webinar: Road to Risk: Pursuing an MSSP ACO to Achieve Clinical Integration

    MSSP ACOs offer hospitals an ideal vehicle for preparing for risk-based reimbursement. Here’s what you need to know to get yours started in 2017.   Time’s a wastin’, if you’re planning to jump start your journey to risk-based reimbursement through a Medicare Shared Savings Program ACO next year. Your Notice of Intent to […]

Clinical Integration without Spending a Fortune

    Does it have to cost millions to initiate a clinical integration strategy? Contrary to popular belief, we have clients who have generated substantial shared savings and a significant ROI over time, without massive investments.  Yes, some financial capital is required for resources the CIN providers can’t bring to the table themselves. But the size […]

The 16 Core Competencies Your ACO Needs to Succeed

Here are the 16 ACO core competencies providers need to succeed under Value-Based Care.   Provider organizations need 16 core competencies to succeed under Value-Based Care. Some of these competencies can’t be developed by the provider organization alone. They require a payer organization as a strategic partner. Others may not be relevant for both Medicare […]