Analysis: Health plans, physician practices align to manage population health and reduce total cost of care
A discussion of strategies health plans are deploying to align with physicians, manage referrals, improve outcomes and reduce the total cost of care as the U.S. healthcare system transitions to population health-based payment models.
Providers explore new territory with health plan ownership
Health systems are showing renewed interest in forming provider-sponsored health plans for a number of reasons, including rising enrollment in Medicare Advantage plans and discontent with payer-provider partnerships.
What to know before rolling out a PSHP
Healthcare organizations that are launching a provider-sponsored health plan should consider four recommendations.
The CFO’s role in driving value in healthcare through informed collaboration
Hospital and health system finance executives should promote clinical, economic and administrative alignment between their organizations and health plans as a necessary step necessary for achieving success under value-based payment contracts.
Why it is necessary to routinely assess healthcare integration initiatives
Because the perspectives of participants in healthcare integration initiatives can change over time, causing their business and financial needs to move out of alignment, it is important to reassess the integration relationships at regular intervals.
Sources of qualitative data on PAC providers
Health systems require qualitative data when evaluating post-acute care (PAC) providers as potential partners.
Analysis: American Well and Cisco develop telehealth offering for MA plans
HFMA’s Chad Mulvany says it makes sense that Medicare Advantage (MA) plans would invest in virtual health options for older patients, like the recently announced American Well/Cisco partnership, which could lead to a significant impact on hospital discharges.
3 ways healthcare organizations can take integration to the next level
Consolidating healthcare organizations should continue to pursue opportunities to take integrated healthcare to new levels of effectiveness.
3 steps to innovation through use of data and analysis
Consolidating healthcare organizations should continue to pursue opportunities to take integrated healthcare to new levels of effectiveness.
Around the World in 40 Weeks: Maternity Care Outside the U.S.
Olakunle Olaniyan, MD, MBA, FHFMA, president of Case Management Covenants, discusses what the United States can learn from other countries when it comes to maternity care. Also: an interview with Matt Houston of GHX about adoption of automated payment processes and five fast facts about hospital mergers and acquisitions. Sponsored by GHX.