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Your Most Profitable Payers
Many hospitals we work with do not have a strategy to deal with their most profitable payers: employers. These employers purchase insurance or TPA services from major insurers and the […]
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Integrating with Physicians in a “Fee-for-Value” Environment
If we accept the premise that “fee-for-value” will be the new reimbursement model for public and private payers, then we must also accept the fact that, in order to be […]
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Final ACO Rules: Better But Not Good Enough?
Now that the final regulations regarding Medicare Value-Based Care organizations have been published, will interest levels return to pre-March levels? Before addressing that question, let’s review the ACO regulations and […]
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Clinical Integration as an Alternative to Employment
Hospitals lose $150,000 to $250,000 per year over the first 3 years of employing a physician according the May 12, 2011 NEJM article “Hospitals’ Race to Employ Physicians – The […]
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Interim Management: When Does It Make Sense?
Some managers equate interim management with the temporary agency they use to fill the empty seat in the billing office until a permanent replacement can be found. This opinion fails […]
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Growing Physician Losses and Job Tenure: Are They Related?
Clients are reporting a growing awareness by their Boards of losses per physician in hospital employed networks. With average losses approaching $200K, many systems are finding that shrinking margins and […]
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Transitioning to ACOs: Six Strategies To Implement NOW
“But what should I be doing NOW?” Several CEOs have asked us that question, as they struggle with how to make an effective transition from a market that incents volume […]
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Increasing the Value of Your Employed Physician Group
Hospitals and systems have mixed results when employing increasing numbers of physicians, that according to the influx of calls we have fielded from our clients. They want to know the […]