MACRA Preparedness: Understanding Your QRUR

Organizations are wondering how they can predict their performance under the Quality Payment Program’s MIPS pathway. The answer is actually the same as it was for gauging performance under the PQRS and the Value-Based Modifier programs – CMS’ Quality and Resource Utilization Report (QRUR). We find that most organizations have similar, basic questions: What is […]

Unleashing the Value of Your Physician Network

Many health systems continue to struggle with their investment in physician practices. Millions of dollars in investments have brought some positive results — stabilized volumes and health system control, of sorts, over their physician complement. But the groups are slow to evolve to meet the challenges of value-based care, present significant management challenges, and are […]

The Inevitable

With all of the uncertainty about changing health policy and the ACA, it is easy to get distracted. But those distractions hide a deeper truth: many changes are inevitable. It is critical that you not lose sight of the evolution required of your organization and its physicians if you are to successfully address those changes. […]

How to Retain Patients: Referral Measurement and Management

Do you know how much revenue your organization is losing from referral leakage? In our work with clients around HSG Physician Network Intelligence, a comprehensive physician referral management platform focused on downstream revenue growth, we systematically identify and monitor the referral patterns of physicians to understand opportunities for our clients to increase referral capture. Below […]

How Healthy is Your Employed Network?

Is a check-up in order? With reimbursement tightening and demands on limited practice resources increasing, it is critical that your employed network operates as efficiently as possible. Routine monitoring will keep you apprised and illuminate the steps you need to take to improve operations, stem losses, and keep localized issues from becoming systemic problems. On […]

Building the Network You Need for Success

The except below is from HSG’s whitepaper on the Physician Network Life Cycle, published (December 2016) at AHA Health Forum (Industry White Papers & Insights). Click here to download In HSG’s work with Employed Physician Networks, we frequently find the same set of core challenges during the evolution of Employed Physician Networks: • External pressures […]

Five Physician Comp Tips for Achieving Success Under Value-Based Purchasing

As reimbursement shifts to value, is your physician compensation plan keeping up with the changes? Programs like Value-Based Purchasing, Readmission Penalties, and Hospital Acquired Conditions Penalties are holding hospitals accountable for quality, satisfaction, and outcome measures. To be successful under programs today, hospitals must engage physicians to manage and improve the processes that influence these […]

8 Keys to Building a High-Performing Employed Physician Network

Effectively building a high-performing employed physician network takes time and focus.  Most networks are fraught with problems at every level and lack sufficient resources to ensure the production of value needed.  The most common problems we see with employed networks are: Lack of overall strategy and strategic action plans; Weak group culture; Limited focus on […]

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 […]