stusch + healthcare   16

Health systems see returns on risk-based reimbursement - Modern Healthcare
Nice case studies showing how health systems with the resources to really invest in success under new payment models are seeing returns.
Healthcare 
july 2017 by stusch
Ascension sells Wisconsin hospital to Marshfield physicians group - Modern Healthcare
A sizable multi-specialty physician group in Wisconsin transforms into a more integrated delivery network via hospital acquisition.
Healthcare 
april 2017 by stusch
Bruce Rauner Medicaid revamp draws inspiration from Arizona, Ohio, others - Crain's Chicago Business
In theory, getting more Medicaid beneficiaries on managed care and farming the work out to less insurers seems like a good thing. But in Illinois, the politics are always more complicated.
Healthcare 
march 2017 by stusch
Mid-sized hospital systems taking the VC plunge - Modern Healthcare
EXCERPT:

[H]ospital-sponsored venture funds, like any venture capital fund, are looking for a good return on their investment. Some have hundreds of millions of retained earnings to invest and they are breaking out a portion to apply to healthcare startups, [Derek Baird, vice president of Chicago-based Avia, a national network of health system innovators that itself receives venture capital from health systems,] said.

But another motive is to give the funds access to clinicians and professionals who can test their wares and advise how best to implement the technology into workflows, Baird said. Allowing such hands-on testing helps the funds calculate how best to roll out the products.
Healthcare 
march 2017 by stusch
Illinois Gov. Rauner's Medicaid savings move - Crain's Chicago Business
"Insurers will have to bid for a piece of the state's managed care program, which is projected to cost more than $9 billion in 2018, or nearly a quarter of Rauner's overall proposed $37.3 billion budget. He plans to narrow the number of carriers that now participate in managed care, possibly by more than half."
Healthcare 
february 2017 by stusch
Why hospitals really don't want to go back to pre-Obamacare days - Axios
"The biggest concerns for hospital executives: losing Medicaid payments, and having more privately insured patients who can't pay their bills because of high out-of-pocket costs."
Healthcare 
january 2017 by stusch
Nation's largest investor-owned hospital systems are in full retreat - Modern Healthcare
EXCERPTS:

The giant investor-owned hospital companies such as HCA Holdings, Community Health Systems and Tenet Healthcare Corp. are either selling hospitals or largely staying on the sidelines. Meanwhile, it's regional not-for-profits such as MultiCare Health System in Tacoma, Wash., and WellStar Health System in metropolitan Atlanta that are buying the hospitals that the for-profits don't want anymore.

[...]

The regional not-for-profits are looking to grow and, perhaps, gain a statewide footprint to better manage populations and to achieve economies of scale and more leverage negotiating with insurers.

[...]

Executives at the not-for-profit and for-profit health systems say that the days of buying hospitals for the sake of getting bigger are over.

[...]

[A]s reimbursement shifts from fee-for-service to value-based payments that require providers to take on risk for managing patient populations, there's pressure to increase scale and geographic reach. [Ed. note: This has been the conventional wisdom for some time.]
Healthcare 
january 2017 by stusch
The #1 thing you need to know from the 2017 JP Morgan Healthcare Conference: Follow the money
KEY TAKEAWAYS:

* "Several health systems believed the ACA has had a net neutral effect." Likely due to offsetting market share increases, which are further discussed in the article.

* "Focus on value — high quality affordable care and health for a population — has to continue." We definitely agree!

* "Also a shift towards investing in staffing performance improvement teams on an ongoing basis." We need smart people, armed with good data, to drive change!

* Many orgs are proactively diversifying revenue through new ventures, in the interest of viability & sustainability.

* "Increased willingness to take on risk and value-based payments in a large-scale population setting."

* "This is the first time where the EHR was not cited as a strategy by itself, but as a baseline assumption."

* "A noticeable shift in strategy for major healthcare providers as many begin to move from defense to offense."
Healthcare 
january 2017 by stusch
The 21st Century Cures Bill: The Hospital Impact | H&HN
EXCERPT:

The 21st Century Cures Act of 2016 was a long time coming, and no one knows for sure how its implementation will play out. It’s huge: 996 pages in its final version with a shopping cart full of goodies. What we know for sure is it calls attention to two major areas: expeditious access to new drugs and devices, and effective and accessible access to mental health services. They’re both important. That’s why the new legislation is potentially a big deal for hospitals.
Healthcare 
december 2016 by stusch
10 Tips for Talking with Physicians About Costs | HFM Blog
EXCERPTS:

Physicians often assume that the folks in finance are concerned only with costs while CFOs presume physicians are indifferent to the monetary aspects of running a hospital.

[...]

If you want to be aligned with your physicians, do the foundational work of developing a professional working relationship with them that is built on trust and transparency. Together, you could be shaping a “vision for value” that’s twice as good as anything that has yet to be operationalized.
Healthcare 
november 2016 by stusch
Community Health Systems adjusts physician staffing as hospital sales proceed - Modern Healthcare
EXCERPT:

In addition to selling hospitals to reduce debt, Community Health Systems is trying to find the right number of physicians to optimize productivity, Chief Financial Officer Larry Cash told analysts Tuesday at the Credit Suisse 25th Annual Healthcare Conference.

CHS, of Franklin, Tenn., went on a physician-recruiting binge last year, bringing in a record 4,152 more physicians systemwide compared with the 3,765 recruited in 2014, Cash said.

The hospital chain was recruiting physicians to staff its more than 1,000 clinics as well as jump-start volumes at some underperforming hospitals. Those include former Health Management Associates hospitals in Florida that CHS had acquired in 2014, Cash said.

But now CHS is scaling back its recruitment (PDF), Cash said. CHS is putting more management resources into the practices to optimize scheduling and improve throughput.

But now CHS is scaling back its recruitment (PDF), Cash said. CHS is putting more management resources into the practices to optimize scheduling and improve throughput.
Healthcare 
november 2016 by stusch
Vermont's all-payer ACO will begin in January - Modern Healthcare
EXCERPTS:

In January, Vermont will become the first state in the nation to move to a voluntary all-payer accountable care organization model, the CMS announced Wednesday.

[...]

The Vermont ACO will cover Medicare, Medicaid and commercial payers, requiring those who participate to pay similar rates for all services.

[...]

The state aims to have 70% of its insured residents covered by an ACO by 2022. The model will be considered an advanced alternative payment model under the new Medicare reimbursement program, making participants eligible for a performance bonus.
Healthcare 
october 2016 by stusch
Hospital Bucks Consolidation Trend | HFMA
EXCERPT:

The healthcare industry’s march toward consolidation took a small step backward Oct. 7, as the 122-bed hospital in Goshen, Ind., changed its name from IU Health Goshen to Goshen Health as part of its movement away from the Indiana University (IU) Health system.

“We’re in the process of ending our affiliation with IU Health; it will probably take us to the end of the year,” said Randy Christophel, president and CEO of Goshen Health. “For the last year and a half, we’ve been moving in this direction.”

Current trends see community hospitals either closing or joining larger systems, so what Goshen is doing runs counter to both of those movements, Yevgeniy Feyman, a senior research assistant at the Harvard School of Public Health and an adjunct fellow at the Manhattan Institute, said in an interview.

“I haven’t heard of something like this happening absent a divestiture required by the Federal Trade Commission or the courts—the trend is certainly toward consolidation and acquisition,” Feyman said. “So this is certainly bucking the trend, but I don’t expect this to be a new trend taking off.”

[...]

“The way you succeed as an individual hospital is that you have to specialize—the days of the general hospital are long gone,” Feyman said. “You need to offer something unique and do it well. Having your own brand helps.”
Healthcare 
october 2016 by stusch

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