Where health systems are finding areas for innovation
Health systems have found some effective innovations to improve productivity, outcomes and consumerism.
Organizations that are changing the face of the ambulatory care market
The shift to an outpatient- and consumer-driven healthcare system requires traditional providers to strategically respond to game-changing trends.
Analysis: Healthcare industry implications when more private-equity groups buy specialty physician practices
As more private equity groups get involved in healthcare deals, industry insiders express concerns about possible negative impacts on healthcare as a whole.
Provider nimbleness required for diverse value-based healthcare models
Many providers are in the throes of implementing strategies for value-based health care. But now they must adapt to an environment characterized by diverse value-based care models, new players, and more data to discern provider value. To weather the next decade, the key attribute providers will need is nimbleness—a challenge in an industry not known…
Analysis: UnitedHealthcare expands MA bundled payment plan offerings for 2020
HFMA’s Chad Mulvany says UnitedHealthcare’s move to expand its bundled payment offerings to providers in its Medicare Advantage plans in more than 30 states is a step in the right direction in support of providers’ efforts to transition to value-based payment models.
Analysis: N.C. House of Representatives stalls reference-based pricing plan
HFMA’s Chad Mulvany looks at the trend of states basing (or considering basing) hospital and physician service payment rates for employees on a percentage of Medicare.
Analysis: CVS, Walgreens look to the chronically ill for a pharmacy cure
HFMA’s Chad Mulvany looks at how insurers’ claims data could be used by CVS and Walgreens walk-in clinic care teams to flag high-risk patients and provide tailored care plans.
Analysis: Controlling access to control costs
Health-plan-based primary care offerings may be challenging conventional wisdom related to population health.
Analysis: Kaine, Bennet public option health plan
HFMA’s Chad Mulvany reviews some possible short- and long-term outcomes of the public option health plan proposal by Senators Tim Kaine and Michael Bennet last week.
Analysis: What nonprofit hospitals should do to compete with healthcare industry disruptors
Health systems can effectively respond to nontraditional healthcare competitors in this review of findings from a Fitch Report of nonprofit hospital ratings.