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
Preparing for Emerging Delivery Models: PHO Development to Facilitate Value-Based Care Delivery
Physician-Hospital Organizations (PHOs) are experiencing a resurgence, as hospitals and health systems grapple with ACOs, Bundled Payments, narrow networks and direct contracting in the wake of
Get a Handle on Your Physician Agreements
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
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