Proactive collaboration allows AMCs and community counterparts to benefit from each other’s strengths, creating value that wasn’t necessarily sought or derived from more traditional partnering approaches. In Part I of this blog post on partnerships between community hospitals/systems and academic/major teaching centers (“AMCs”) we: Explored changes in AMC rationale for pursuing partnerships and partner attributes […]
Note: iProtean editorial staff will be on holiday next week, celebrating Memorial Day. Look for the next blog/newsletter June 1. Enjoy the holiday! The uninsured rated dropped from a high of 16.3 percent in 2010, the year the Affordable Care Act was enacted, to 9.1 percent in 2015, according to data released by the […]
The financial profiles of US not-for-profit hospitals are stronger than they were three years ago, says Moody’s Investors Service vice president Daniel Steingart. In his summary in Healthcare Quarterly, Steingart notes that “stronger financial footing will undoubtedly help hospitals mitigate the headwinds associated with changing and more stringent reimbursement models.” (“Not-For-Profit Hospitals: Financially Stronger as […]
Moody’s Investors Service reported a continuation of “favorable operating performance” for not-for-profit and public hospitals, citing its preliminary FY 2015 medians. “Strong revenue growth and strengthening profitability margins are due to gains in insurance coverage, volume increases, improved revenue cycle, expense management and the stabilizing of changes implemented by the Affordable Care Act (ACA),” […]
Physician engagement is critical to CIN success. True engagement, however, takes vigilance and a long-term commitment; having physicians join your network is just the beginning of the process. Our experience has shown that, despite their best intentions, many CINs lose touch with their physician membership at some point along the road. Effectively engaging physicians in […]
Physicians participating in many existing alternative payment models (APMs)—including most Medicare accountable care organizations (ACOs)—will not qualify to receive future Medicare pay increases under proposed rules issued by CMS last week. The proposed rules would implement changes through the unified framework called the Quality Payment Program, which includes two paths: The Merit-based Incentive Payment […]
Industry transformation requires major adaptations from healthcare organizations – to increase scale, enhance scope, and achieve differentiation, among others. Partnerships can be a key vehicle to facilitate and pursue these adaptations. Partnerships between academic and community hospitals/health systems are a unique sub-set of healthcare provider partnerships. Academic providers aligning with their community counterparts is, of […]
CMS has issued a proposed rule for FY 2017 that would eliminate a 0.2 percent cut implemented as part of its controversial “two-midnight” policy. “CMS finally saw the light and proposed to terminate their flawed Two Midnight payment cut in the Inpatient Prospective Payment System (IPPS) rule,” said an executive from Premier in a […]
A new alternative payment model featuring public-private payer partnerships was announced last week by CMS. The Comprehensive Primary Care Plus (CPC+) model features Medicare-commercial-state health insurance plans partnerships to support the delivery of advanced primary care. Existing alternative payment models range from pay-for-performance, to bundled payments, to accountable care organizations, to global payments. […]
A 77-bed hospital in Indiana fell victim to a ransomware attack on April 4 via an ordinary looking email sent to a clinical worker’s Outlook inbox. The worker opened the email and inadvertently released the malware. Recognizing something was wrong, the worker notified the IT department which immediately shut down all of the hospital’s computer […]