Confronting the Physician Shortage Head-On: A Health Plan Takes Action
John Baackes, CEO of L.A. Care Health Plan, describes a long-term initiative to ensure a strong physician pipeline is available to serve the healthcare safety net in the market.
The Internet of Things Presents Security Concerns
The sheer number of networked healthcare devices means larger cybersecurity attacks are easier to execute. For healthcare providers, these breaches are not only disruptive, embarrassing, and expensive, but they can lead to serious medical complications for patients.
Calculating KPIs for Value-Based Payment Models
If hospitals and health systems know the patients for whom they’re at risk and the benchmarks against which they are held accountable, they can lower costs and improve outcomes for an entire population—not just a single patient.
Challenges and Opportunities Seen in Social Determinants
Oct. 10—Providers and insurers are seeing a range of obstacles and new opportunities in efforts to better address the most powerful factors affecting patient health.
Transitioning to a New Medicare Benchmarking Paradigm
As commercial health plans adopt a case-rate approach to payment based on Medicare’s MS-DRGs, modifications are needed to account for how health plans’ populations differ from the Medicare population.
Cost Accounting: Bridging the Gap Between Where You Are and Where You Should Be
By creating a single source of truth, MultiCare aims to have coordinated oversight of all data, including security and design, and provide a consistent training curriculum for its finance team.
A Growing Health System Contains Costs Through Outsourcing
Methodist Health System wanted to manage and maintain its facilities more efficiently after more than a decade of expansion. Improved contracting practices saved $250,000 in the first several months.
Your Health System Is Ready for the Future—But Is Your Leadership Structure?
John Johnston and Vincent Joseph explain that even as revenue and volume continue to move into nonhospital entities, leaders must be held accountable for the performance of their own individual business units or regions, as well as for systemwide results.
Employer Plan Deductibles Increase by 11 Percent: Survey
Oct. 8—In 2018, the share of workers enrolled in high-deductible health plans (HDHPs) resumed increasing, and deductibles among all workers increased by an average of 11 percent from the year before, according to a national survey.
The Conscience of the Generic Drug Market
Created to address the high costs and shortages of generic medications, the not-for-profit generic drug manufacturer Civica Rx aims to be a societal asset by providing patients across the nation with affordable access to the medications they need.