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.
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