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Who’s Afraid of a Little Risk?
The Medicare ACO modeled advanced by CMS has encountered some challenges, but it still holds promise if CMS addresses the flawed idea of retrospective attribution of patients to an ACO.
How to Grow High-Value Service Lines Effectively
Growing top-performing service lines can be an effective strategy for healthcare organizations to advance their business objectives.
Physician Distribution, Mobility, Fair Market Value and Compensation Surveys
An analysis of regional differences in physician compensation coupled with the general tendency against long-distance relocation shows there is no truly national market for established physicians. Rather, local market conditions must be considered in setting fair market value.
The Critical Role of Health Systems in the Nation’s Response to the Opioid Crisis
Although state and federal programs dedicated to the opioid crisis are helpful, communities—specifically hospitals and health systems—must be dedicated to making improvements.
Challenges and Opportunities, Part II: Responding to Health Care’s Evolving Landscape
With hospitals on the move to enter new payment arrangements and participate in programs disciplining hospital readmissions, they should consider two new approaches to healthcare.
The Shift to Outpatient TKA—What’s the Big Deal?
Hospitals should prepare for the impending revenue impact of a shift of total knee arthroplasty (TKA) procedures from inpatient to outpatient settings by developing strategies to retain market share for TKA.
Reinventing Medical Payments: The Urgency for Digital Transformation to Prioritize Patients
The rising cost of health care has made the need for convenience in patient payments necessary for both patients and providers.
Acute Care and Critical Access Hospital Occupancy Rate Variability by Location
An analysis of Medicare cost reports from 2016 shows that urban U.S. hospitals typically had higher occupancy rates than their rural counterparts, with notable exceptions in the Northeast and Arizona.
3 Keys to Defending a Healthcare Organization’s Margins
As the healthcare industry transitions from volume-based to value-based payment, healthcare organizations must establish priorities and prepare to assume risk in select areas of focus. To do this, providers must develop an understanding of the precise costs for individual encounters, procedures, and episodes of care, and hone in on specific cost drivers.