Cost Effectiveness of Health

How to lay the foundations for success under CMS’s new MDC program

The CMS Medicare Direct Contracting (MDC) program offers hospitals and health systems a unique opportunity take the next step in value-based payment and population health management. Success requires the right targeted investments in expertise and infrastructure.

Allen Miller, MPH September 28, 2020

3 contracting strategies to accelerate a COVID-19 financial recovery for providers

Having suffered significant losses due to the COVID-19 pandemic, healthcare providers require effective strategies to achieve a more equitable balance with payers, which have actually enjoyed a financial windfall as a result the pandemic.

Kathy Najarian, MHA September 28, 2020

Telemedicine is exploding, but where is the ROI for health systems?

Telehealth is well on its way to having much broader acceptance and use than was seen at any time prior to the COVID-19 crisis. Yet there continue to be barriers and challenges in its widespread adoption.

Ezra Mehlman, MBA September 2, 2020

Healthcare leaders must take multitasking to an enterprisewide level

The extent to which hospital and health system executive teams can multitask will be a determining factor in whether these organizations will succeed in continuing to manage the ongoing operational and financial threats from the COVID-19 pandemic.

Kenneth Kaufman August 20, 2020

5 factors that will make the next recession different from 2008

Hospitals came through the Great Recession relatively unscathed, but a future recession would likely pose much more severe challenges. It therefore would be prudent for hospitals to act now to protect themselves against future market distress.

Richard Rollo August 20, 2020

How to manage risk-based payment in the era of the global pandemic

To succeed with risk-based contracts through the COVID-19 pandemic and beyond, healthcare organizations require analytic capabilities for modeling the revenue impact of the crisis through all its phases.

Thomas Persichetti, FCA, ASA, MAAA August 4, 2020

Optimal use of APPs can enhance a health system’s post-COVID-19 financial recovery

A strategy by Excela Health in Pennsylvania focused on integrating and optimizing its the advanced practice provider workforce can serve as a road map for how best to pursue such an undertaking.

Zachary Hartsell, DHA, PA-C July 31, 2020

7 steps toward compensating primary care physicians for their true value

A value-based payment model for primary care physicians would be consistent with the goal of population health, which is to achieve better health outcomes for a population of patients at the lowest possible costs.

John Rezen, CRCR, MHA, LSSBB July 31, 2020

COVID-19 continues to play havoc with hospital financials

The U.S. hospitals face two significant pressures through the end of 2020: continuing spikes in COVID-19 admissions and, if the economic rebound falters, a rise in the numbers of patients who are uninsured or insurebd ny public insurance.

Gail R Wilensky, PhD July 31, 2020

Beyond COVID-19: A guide to economic recovery for health system CFOs

As healthcare CFOs prepare fro the aftermath iof the COVID-19 pandemic, they should adopt a new mindset for addressing strategies around human capital, revenue recovery, cost reduction and capital investment.

Deirdre Baggot, PhD, RN July 31, 2020
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