Stories of consolidation and reinvention from the Fall/Winter 2013 Leadership magazine.
Mountain States Adds an Insurance Arm
Mountain States Health Alliance (MSHA), a four-state health system based in Johnson City, Tenn., recognized that a strategy based on increasing inpatient utilization would not sustain the organization in the long term. As part of its growth strategy, MSHA launched an insurance arm called CrestPoint Health.
“The insurance company is not there to become the next WellPoint, the next United, or the next Aetna. It’s there to be a strategic asset,” said Rob Slattery, president and CEO of Integrated Solutions Health Network, CrestPoint’s parent organization. Read the article.
The Transformation of Safety-Net Hospitals
With limited access to preventive and chronic care management, many patients arrive at safety-net hospitals like Truman Medical Centers with advanced or out-of-control health conditions. President and CEO John W. Bluford III is addressing these challenges with an initiative called Thinking-Outside-of-the-Bed, which tackles socioeconomic challenges with tactics such as a farmers market and a patient-friendly bank within the hospital. Read the article.
Securing Mountains of Data
Unless secured, patients’ electronic health records, billing and payment records, digital images, and other sensitive details can be illegally downloaded. IT experts are scrambling to find the best available solutions in a time of evolving data storage and security capabilities.
Mississippi-based St. Dominic Hospital chose an onsite solution called scale-out, network-attached storage. Working with the vendor, St. Dominic staff hooked up two storage clusters in just a few hours. In contrast, Children’s Hospital Central California uses a hybrid storage approach with some in-house data centers and some that are cloud-based. Read the article.
The Many Faces of Retail Health
CHE-Trinity is sending volunteers with laptops to laundromats and churches to educate consumers about the health insurance exchanges. The health system also plans to use kiosks in its ambulatory offices and hospitals to help patients who do not have home Internet access register for insurance online. “For us, ‘winning’ means successfully transitioning into the new wave of consumer/patient interaction and retail orientation,” said Preston Gee, former senior vice president of strategic planning and marketing at the Trinity Health division. Read the article.
In his Leadership column, James L. Reinertsen, MD, poses the question: “Can a health system without an insurance arm succeed in today’s marketplace?”
In another Leadership column, HFMA’s Todd Nelson points to Priority Health’s comparison shopping tool as a commendable example of how providers and payers can help patients make better choices.
Finally, four healthcare leaders share how their roles are evolving as the healthcare landscape changes.
Somnia: Bending the Healthcare Cost Curve Toward Improved Anesthesia Value
PMMC: Navigating Revenue Cycle Management Challenges as Value Based Purchasing Emerges
Burgess: Simplify the Business of Healthcare
J.P. Morgan: Managing Cybersecurity and Protecting Patient Data
Brian DiPietro, Managing Director, Commercial Bank Technology, JPMorgan Chase & Co., discusses the importance of evaluating your cybersecurity protocols to help prevent malicious data breaches.
TransUnion Healthcare: Smarter Revenue Cycle Solutions
Gerry McCarthy, President of TransUnion Healthcare, discusses industry trends contributing to higher bad debt and what to do about them. Gerry is responsible for the strategic direction of the healthcare business and expanding its footprint in the healthcare market overall. He has more than 20 years of experience in healthcare information technologies.
Deloitte: Creating Value with Effective Care Management
Scott Kolesar, principal and senior leader in Deloitte Consulting LLP's Value Based Care practice, and David Wennberg, MD, MPH, adjunct associate professor of The Dartmouth Institute and former chief executive officer, Northern New England Accountable Care Collaborative, discuss the challenges and competencies involved in creating a care management organization.
American Express: Streamlining Supplier Payments and Boosting Revenue
Andrew Jamison, vice president in the Global Corporate Payments division of American Express, discusses trends and opportunities in supplier payments.
Deloitte: Realizing the Potential of Your CDI Program
Suzanne Whitworth, director at Deloitte & Touche LLP, and LaVerne Romberger, MSN, CCM, CCDS, clinical operations manager-Seton Healthcare, share leading practices for maximizing the potential of clinical documentation programs under value-based care.
RevSpring: Customizing a Technology Platform to Drive Patient Payment
Martin Callahan, Senior Vice President, Healthcare Solutions, RevSpring, describes key industry trends affecting how patients engage with the revenue cycle and ways payment processes are changing as a result.