This issue of the Leadership E-newsletter highlights content from the recently published Summer Leadership magazine. Access the entire issue.
Partnering Around Value-Based PaymentFive case studies illustrate how payers, hospitals, and physicians are successfully collaborating around alternative payment structures, including shared savings and bundled payment—while improving patient outcomes. For example, Pennsylvania’s Consultants in Medical Oncology and Hematology (CMOH) is the only oncology practice to achieve Level 3 patient-centered medical home status. As a result, chemotherapy patients are dramatically less likely to visit the ED or the hospital.
CMOH’s high-quality care has helped the oncology practice secure value-based contracts with Aetna and other payers to cover more than 50 percent of its patients. “Aetna hopes that we can get enough oncology practices delivering high-value care ... that we can start a network of excellence for our patients to use,” says Michael Kolodziej, MD, Aetna’s national medical director for oncology strategies.
Access all five case studies.
Checklist: Assessing Your Commitment to Bundled PaymentSetting up a bundled payment model takes significant time and resources, and an organization should be sure that engaging in this effort is the right step. This checklist can guide organizations in assessing their commitment to bundled payment and laying the groundwork for success.
Download the checklist and access a related Leadership infographic on bundled payment.
The Outpatient Migration: Nursing’s RoleCedars-Sinai CNO Linda Burnes Bolton, DrPH, RN, is helping inpatient nurses transition to delivering care outside of hospital walls. For example, nurses at Cedars-Sinai are performing “tuck-in calls” within 24-48 hours after patients are discharged. Nurses call the patients they cared for in the hospital to ensure that patients are following physicians’ post-care directions.
Read the profile and access a related audio clip in which Burnes Bolton provides more details on the tuck-in calls.
When to Outsource Versus InsourceMany health systems are finding that the answer to whether to outsource or insource key services, such as laundry or hospitalist services, is “it depends.” For instance, in recent years, INTEGRIS Health System has outsourced some of its IT functions while insourcing revenue cycle functions that used to be done internally.
Read five right-sourcing case studies.
Developing Leadership SkillsFour healthcare leaders share what skills they struggled with when they first became managers—and how they gained expertise in those areas.
Access these short lessons learned.
Evolving Toward ValueFour industry experts share their thoughts about the upsides and downsides of ICD-10 in a Leadership Q&A.
Baylor Scott & White Health considers soft as well as hard savings when measuring the ROI of IT investments, writes CHIME president and CEO Russell Branzell in his Leadership column.
As experts debate whether M&As raise prices, HFMA president & CEO Joseph J. Fifer encourages healthcare leaders to be transparent with community members about the impact of M&As. Read his column.
Conifer Health Solutions: Helping Providers and Employers Build a Foundation for Better Health
Cerner RevWorks: Readying Your Revenue Cycle Performance for Tomorrow
Ontario Systems: Optimizing Accounts Receivable in a Rapidly Changing Environment
Steve Scibetta, senior director of channel sales for Ontario Systems' healthcare product line, shares insights into effectively managing receivables.
Optum: Enabling Transformative Change
Elena White, vice president of risk, quality, and network solutions for Optum, discusses how healthcare providers can leverage data and technology as they enable risk in their organization.
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.