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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 […]
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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 […]
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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 […]
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Don’t Underestimate Medicare Advantage Risk
With the continued growth and expansion of Medicare Advantage (MA) plans, many health systems are considering the pros and cons of accepting financial risk for these patients. This is a […]
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Webinar: Physician Leadership Series: Building Market and Industry Knowledge
During this 30-minute webinar, Chief Clinical Consultant Dr. Terrence McWilliams and Director Travis Ansel will cover what doctors need to know about changing purchaser expectations and their associated requirements, including: Value-based […]
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Webinar: Physician Compensation: Laying the Groundwork for Clinical Integration
Physician compensation is an important component of physician aligment. In the drive to build clinically integrated networks, one obstacle hospitals and healthcare systems must overcome is ensuring that ALL participating […]
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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) […]
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Webinar: Clinical Integration 101
With CMS’s goal to achieve 50 percent alternative Medicare payment models by the close of 2018, health systems are increasingly focusing on clinical integration. However, most hospitals and systems […]