NMTCs allowed Cuyuna Range Hospital District to reduce the amount of money it needed to borrow by $2.3 million—and still realize the net effect of having raised $15.7 million.
By Anthony Law
How can an acquirer value a physician practice without including the value of patient referrals? Usually through one or more high-level valuation approaches.
Regional Providers: Which Will Thrive Alone and Which Will Merge?
By John Hanley and Mike Quinn
To rationally make this assessment, we recommend that health system executives ask themselves seven vital questions related to leverage, growth potential, physician integration, IT, looming threats, the care continuum, and the talent pool.
A Wisconsin Narrow Network in Action
By Lauren Phillips
This is the story of one entry in the narrow network sweepstakes called Blue Priority, a partnership between an ACO (Aurora Health Care) and an insurer (Anthem BCBS Wisconsin).
Narrow Networks Create Value—And Controversy
Is today’s narrow network really something new, or is it just an HMO by another name? What’s different this time around?
The Narrowest of the Narrow: Specialty Networks
The latest on Cleveland Clinic’s bundled price arrangements with large employers for cardiac and other specialty care.
At a Glance
The Hospital-Physician Integration Continuum
By Keith Chew
A range of hospital-physician affiliation models have emerged to accommodate the cultural, operational, economic, and strategic needs of both parties.
Data Metrics & Analysis
Are You Sure You Want to Completely Rely on Your Claim Editor?
By Lauree E. Handlon
We found that both custom and standard errors are occurring in claims nationwide—even though such errors should have been caught by claim editors.
2 Case Examples: Choosing Partnership Over Merger
By Jeffrey R. Hoffman
In a sign that the meaning of “independent provider” is changing, many forward-thinking hospitals and health systems are making quiet, intense movements toward partnerships and affiliations.
Population Health Skills
By Jeffrey R. Hoffman
Commercial insurers are interested in partnering with health networks that can demonstrate improved value in care delivery and provide them with access to insurable populations.
ERM for the Population-Focused Enterprise
By Gregory Shufelt and Andy McNerney
Enterprise risk management offers an effective way to identify, evaluate, and plan for risks and opportunities—that originate or escalate beyond the hospital walls.
The Long View
A Broad Perspective on Narrow Networks
By Jeffrey C. Bauer
Rather than fighting each other, providers and insurers should create multi-stakeholder partnerships to build cost-effective networks.
Digging Into Claims Data to Succeed Under Value-Based Payment
By Juliet Spector
A better understanding of claims data and, more specifically, the service and cost components in an episode of care, may well position providers to use and benefit from new payment models.
Finance at a Glance
Hospitals in Federal ACOs Versus Hospitals Not in ACOs
Hospitals in ACOs were more likely to be large, not-for-profit, urban, and teaching facilities than those not in ACOs.