Operations Management

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.

Pamela Damsky July 15, 2019

Care management for Medicare patients drives more than 50% of savings

Care management for Medicare patients accounted for more than half of the shared savings in a study of three accountable care organizations.

HFMA July 14, 2019

Joint venture removes provider, patient and payer barriers

A joint venture between Banner Health and Aetna aligns value-based care with economic incentives to reduce the cost of care.

Ed Avis July 14, 2019

Coordinated care reduces hospitalizations

Aetna joint ventures reduced unnecessary hospitalizations by 7% in the first four months of 2018 as compared to CY17, according to Brigitte Nettesheim, president, North Central Region & Joint Ventures for Aetna. Nettesheim says the improvement in hospitalization rates is supported by coordinated care and direct contact with patients and their physicians.  “As an example,…

HFMA July 14, 2019

Dental center prevents ED visits, provides hospital referrals

St. Bernard Hospital Dental Center offers comprehensive and hard-to-access oral health services and surgeries to pediatric and adult patients on Medicaid, particularly special needs patients, which reduces costly emergency department visits and offers referral opportunities to other hospital services.

Ed Avis July 14, 2019

Medication dashboard’s basic structure can be replicated, customized

The basic structure of PPMC's medication dashboard can be easily replicated by other hospitals and health systems.

HFMA July 11, 2019

CMMI chief: Administration’s value push will continue if ACA struck down

The senior government official in charge of creating value-based payment models said the Trump administration’s commitment to such models would continue even if the law authorizing his office is struck down in an ongoing court challenge.

Rich Daly July 8, 2019

How hospitals saved $1,000 per case in a mandatory bundle

Several hospital approaches were key to obtaining savings of nearly $1,000 per episode in Medicare’s first mandatory bundled payment model.

Rich Daly July 3, 2019

Solid written policy and agility are key to preparing for disaster

Former hospital CFO Ed Tucker shares a disaster preparedness budget model he created after Hurricane Katrina.

Erika Grotto July 3, 2019

How one hospital improved patient access, specialty referrals and completed-appointment rates

Texas Children’s Hospital achieved financial and operational improvements after streamlining referral and scheduling processes to better accommodate providers and patients.

Richelle Fleischer, CPA, MPH July 3, 2019
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