Narrow-Network Pioneers Share Tips on Payer-Provider Relationships
With the goal of lowering costs by at least 6 percent in the first year, Kaleida Health and BlueCross BlueShield of Western New York partnered with 500 physicians to offer Align—the first clinically integrated narrow-network health plan in their market.
“One of the principles that we adopted at the outset is that this relationship has to be a four-way win: a win for the physicians, a win for the health system, a win for the health plan, and a win for the employers and insured members,” says Donald Boyd, senior vice president of network development and operations at Kaleida.
Aurora Health Care Improves Imaging Equipment Utilization and Planning
Aurora Health Care, Milwaukee, Wis., has achieved $12.5 million in capital avoidance costs and saved $4.4 million in operating and equipment service costs since early 2012 by strategically investing in the right diagnostic imaging equipment in the right places. Aurora assembled a team to develop greater insight into how medical staff at each facility are using imaging equipment and to maximize equipment investments systemwide.
Turning ICD-10 Into a Clinical Priority
Kari Cornicelli, vice president and CFO, Sharp Grossmont Hospital, La Mesa, Calif., is spearheading the ICD-10 deployment across the entire Sharp Healthcare system. Accurate reimbursement is one obvious result of a successful ICD-10 conversion, but under Cornicelli’s leadership, Sharp is using the change to ICD-10 to enhance the capture of quality-related data, including Medicare core measures.
Seven Steps to Improving Verbal Communication Skills
A recently promoted clinical executive found that one of her new responsibilities was to give presentations to local groups on hospital service line improvements. Plagued by memory lapses while giving presentations in the past, the executive improved her delivery by using techniques to ease anxiety and managing notes and slides more effectively during presentations. She then was able to leverage her improved speaking skills and personal presence during a wide range of communications, including small group and one-on-one interactions.
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