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,
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
Extend the Power of Your Physician Network with On-Site Employer Clinics
Nationally, many large employers have opened onsite employee clinics offering everything from acute primary and urgent care to biometrics screenings and life-style risk education for workers with
Case Study: Building Relationships Between a Hospital, a Medical Community and Self-Insured Employers
Background Our client, a community health system in the eastern U.S., was experiencing significant competition in its primary market from nearby tertiary health systems. These tertiary systems
Three Initial Steps to Engaging Self-Insured Employers
Rising healthcare expenditures are forcing self-insured employers to continually look for ways to reduce costs. Actively talking to local employers and exploring mutually beneficial arrangements can
Leveraging Your Primary Care Investment in the Managed Care Marketplace
Primary care networks can cost millions of dollars to develop, but many hospitals aren't utilizing them to their fullest advantage. One common example of untapped potential: managed care. What steps
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 insurer masks
Employer Health Clinics – Threat and Opportunity
There was a time when the jobsite clinic was a band-aid station, a place to assess work-related injuries and get people back to work. These clinics were just marginal players in the health care