Why removing percent-of-charge provisions in managed care contracts won’t address concerns about high hospital charges
Removing percent-of-charge provisions in favor of fixed fees would not remove the factors that drive price increases, nor would it reduce administrative hassles or decrease risk.
7 keys to engaging physicians for success under BPCI-A
Physician engagement is a critical success factor for health systems that are pursuing bundled payment initiatives.
3 ways cost models are a key to success under risk
Business Intelligence: New primary care models can help healthcare organizations achieve financial goals.
5 actions leaders can implement for success
Leaders of health systems should take five actions to help their organizations achieve success under Medicare value-based payment arrangements.
Financing in the 2020s: Look for higher interest rates
A review of hospital financing practices prior to the Great Recession of 2008 provides insight into how current practices might best respond to a new period of rising interest rates.
The art of execution: Identifying and mitigating risks in healthcare provider organizations
Three provider examples, a physician dashboard, and planning tool illustrate the steps required to put designed processes, structures, policies, and systems into action.
3 details for healthcare providers to know before taking on risk
Providers looking to take on downside ACO risk need to first understand three determinants of success.
What’s the blueprint for taking on risk?
Providers and health plans need to collaborate — both in the planning and execution of risk-based contracts — in order to make them work.
Analysis: Why some participants are likely to leave the Oncology Care Model
Some participants in CMS’s Oncology Care Model may exit the program instead of being transitioned into a two-sided risk model.
Assembling the essentials for successful population health management
A high-performing clinical network, and a focus on patients presenting high or emerging risk are two key elements that health systems must have in place to be able to succeed with population health management.