Thought Leadership – Value-Based Care

How Primary Care Practices Can Address Population Health without Breaking the Bank

This article suggests ways primary care physicians can institute aspects of population health management without making a significant financial investment.   Primary care physicians are hearing more and more about population health. Often, their first reaction is to focus on the most financially and logistically daunting aspects – complex care management, clinical informatics interoperability, and […]

Succeeding in Value-Based Care: Building a Sustainable CIN

  This 20-page guide covers legal issues; the 8 core elements for success with tips and examples; and leveraging your clinically integrated network’s capabilities during development. If your hospital or health system hasn’t already jumped on the clinical integration bandwagon, now’s the time to get started. Congress and CMS have set an aggressive goal for […]

Webinar: Adding Value to Physician Compensation

Thinking about changing your physician compensation plans for value-based reimbursement? In this webinar, HSG discusses:   Why it’s necessary to redesign your provider compensation plan; What types of compensation plans will be required for success; and How to design and implement a new compensation plan that works with value-based reimbursement.  

Case Study: Transforming an IPA into a Clinically Integrated Network – Three Levers for Success

Background With only a quarter of early ACOs producing savings sufficient to share in them and uncertainty over how quickly the industry will transition to value-based reimbursement, many hospital leaders have been reluctant to make the investments required for success under value-based care. However, tremendous clinical and financial gains may be in store for organizations […]

The Role Physician Leaders Must Play in Clinical Integration

The healthcare industry axiom — early, ongoing physician involvement in the strategic planning process predicts positive results — applies just as much to developing a Clinically Integrated Network (CIN) as it does to a strategic plan. HSG recommends physician involvement/leadership at every phase of a high-performing CIN. Setting the Vision & Culture Physicians involved at the […]

Accelerate Clinical Integration with a Medicare Shared Savings Plan (MSSP) ACO

MSSP ACOs offer hospital systems the ability to clinically integrate and enter commercial markets while avoiding many regulatory issues. The Regulatory Catch-22 To successfully contract with payers, hospital systems must first be clinically integrated. Yet, according to DOJ and FTC rules, joint contracting must come first, because it is joint contracting that allows providers to […]

Value-Based Care Readiness Assessment

HSG’s Value-Based Care Readiness Assessment helps hospitals and health systems create a detailed action plan for clinical integration.   The healthcare industry’s business model is changing. Are you ready?   While the transformation to value has been gradual, the process is speeding up. By 2018, more than half of Medicare payments will be value-based. Private […]

Population Health Management: What’s Your Strategy?

While the definition of Population Health Management (PHM) may not always be perfectly clear, what IS clear is that pursuing a PHM strategy requires a total redesign of traditional healthcare delivery and payment systems. What is Population Health Management? PHM is one of the core tenets underlying the current healthcare reform movement. The term, or […]

Webinar: Physician Leadership Series: Identifying Potential Physician Leaders

Join HSG’s Chief Clinical Consultant Dr. Terrence McWilliams and Managing Partner David Miller for a half-hour webinar focusing on physician leadership and development, including: • Characteristics to consider when identifying potential physician leaders; • Constructing a plan for developing potential physician leaders; and • Distinguishing position-specific considerations This webinar is one in a series of […]

Case Study: Developing a Clinically-Integrated PHO to Align an Employed Physician Network and Independent Community Physicians

Background A large multi-specialty physician group (wholly owned and operated by a four-hospital health system) took a 25-percent upside/downside risk as a percent of premium on 6,000 Medicare Advantage (MA) patients. After realizing losses of over $1 million the first year, they determined tighter alignment with key independent specialist groups was necessary to better manage […]