Maintaining Independence Through Informal Affiliations
Leaders at Ingalls Health System believe that a healthcare provider’s size should be measured not by its inpatient capacity but by the number of lives managed. The health system used that perspective to consider how to grow—and decided that merging with another organization held little appeal.
However, remaining independent does not mean maintaining the status quo. “If you are going to remain independent, you are going to have to be more innovative than larger organizations,” said Ingalls’ CFO Andrew Stefo. To address marketplace challenges, Ingalls has developed innovative strategic relationships with other organizations.
ACO Manages Care for a Growing Medicaid Population
Hennepin Health ACO is a partnership among four Minnesota allies—a county hospital, a health clinic, an HMO, and the public health department—that is reducing the cost of care for newly enrolled Medicaid beneficiaries. The ACO has already reduced readmission rates among enrollees by 2 percent within a seven-month period, and cut prescription drug costs in half.
The state of Minnesota pays Hennepin Health a set per-member-per-month fee to cover the cost of care for enrollees. Although most savings are reinvested in program services, a small amount goes to participating providers based on an annual gainsharing formula.
The Invisible Challenge of Care Coordination
Gerri Lamb, a 30-year veteran in the field of care coordination, was thrown for a loop when her own mother became ill, and she was thrust into the caregiver role. Lamb’s experience led to an epiphany: “My greatest passion now is patient-centered care coordination and shifting our measurement to look at what’s important to patients and families.”
Hospital Nutrition Program Supports Efficient and Effective Care
Mount Carmel Health System, Columbus, Ohio, is identifying patients who are malnourished— or at risk of becoming so—within 24 hours of admission. The health system’s admitting nurses use a three-question assessment to determine whether the patient should be referred to a clinical dietician for additional care. Early interventions for malnourished patients have been linked to shorter lengths of stay, lower hospital costs, and reduced readmission rates.
American Express: Streamlining Supplier Payments and Boosting Revenue
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.
KPMG: Readying for Healthcare Today and Tomorrow
Dion Sheidy, a partner in KPMG's Healthcare Advisory practice, discusses healthcare's changing landscape and how having the right advisor can help organizations navigate challenges and opportunities.
Huron Healthcare: Readying Your Organization for Transformation
Gordon Mountford, executive vice president, Huron Healthcare, discusses business imperatives for undertaking transformative change.
Xtend Healthcare: A Custom Approach to Optimizing Revenue Cycle Performance
Tom O'Neill, CEO of Xtend Healthcare Advanced Revenue Solutions, discusses key areas where organizations risk revenue leakage and ways they can use outsourcing to better protect cash flow and support accurate payment.
KeyBank: Helping You to Realize Your Strategic Vision in Changing Times
Victoria Terekhova, senior strategist for Enterprise Healthcare at KeyBank, discusses key challenges when developing long-term strategy in a rapidly changing industry, and the role the right banking partner can play in helping healthcare providers navigate the opportunities before them.
SSI: Preparing the Revenue Cycle for Changing Payer Roles
Availity: Connect to the Future of Healthcare Information
Deloitte: Leveraging IT for Value-Based Care Transformation