Third-Party Payer Revenue and Operating Model Integration: Provider and Payer Collaboration Strategies
The provider-payer strategic alliance model is growing in popularity as healthcare organizations explore ways to make the transition to value-based care.
Schuylkill Health Faces the Future by Changing its Course
Healthcare system’s new strategic course included four major concurrent paths: performance improvement efforts, campus integration, search for a strategic partner, and two different debt financings.
M&A Basics: How to Avoid a Broken Deal
Hospital leaders involved in merger and acquisition discussions need to understand some fundamentals about these transactions to ensure a successful outcome.
An Antitrust Primer
It may be helpful to remember certain basic principles of antitrust law when contemplating mergers and acquisitions.
NY Rural Providers Turn Medical Homes into an ACO
What makes this medical home project different from many others around the country is that it is an all-payer pilot. After lengthy negotiations between providers and payers, the health plans agreed to pay the medical homes $7 per member per month to care for some 100,000 patients during the first year.
Acquisition and Affiliation Toolkit – Home
Introduction This toolkit is a companion to HFMA’s Value Project report on Acquisition and Affiliation Strategies. Consolidation is a rapidly evolving strategic focus for health care organizations. As the report suggests, new forms are continually appearing. This toolkit offers tools for assessing your organization’s situation, determining acquisition and affiliation options, and moving toward finalizing an agreement with an acquisition or affiliation partner. It also provides three examples scenarios to illustrate how these tools might be put to use in setting a course for your organization. Toolkit Directory We encourage first-time users of this toolkit to review the sections in the order listed below. You can then use this directory to navigate to particular sections of interest. Assessing Your Situation Organizational assessment Market assessment Common acquisition and affiliation goals Determining Your Options Common acquisition and affiliation approaches Identifying potential partners Educating your board Moving Forward Communicating your strategy internally Key steps in finalizing an agreement Example Scenarios A stand-alone hospital determines its consolidation approach An academic medical center aims for long-term sustainability A multihospital pursues a regional strategy and system-wide economies of scale
Learnings from the Front Lines: Physician Co-Management at Columbus Regional Health
Given the success of its surgical co-management program and employee gainsharing arrangement, the health system is considering a similar program for the ED and is positioning the organization to take on risk-based contracts.
P&P Board Statement 20: Mergers, Acquisitions, and Collaborations
The Principles and Practices Board undertook this position statement to assist in the identification and use of the appropriate accounting methodology for reporting mergers, acquisitions and collaborations.