The CFO’s role in driving value in healthcare through informed collaboration
Hospital and health system finance executives should promote clinical, economic and administrative alignment between their organizations and health plans as a necessary step necessary for achieving success under value-based payment contracts.
Creative partnerships bring relief from soaring drug prices
With drug costs emerging as a central concern for healthcare leaders, providers are trying to mitigate the problem through partnerships.
3 essentials for creating and managing a high-value PAC Network
A health system's ability to succeed under value-based payment depends on its having a well- developed post-acute care strategy.
Payer-provider partnerships focused on improving palliative care in California
Payers and providers in California partnered to significantly improve capacity for services and reduce emergency department visits, thereby improving outcomes.
Why it is necessary to routinely assess healthcare integration initiatives
Because the perspectives of participants in healthcare integration initiatives can change over time, causing their business and financial needs to move out of alignment, it is important to reassess the integration relationships at regular intervals.
Sources of qualitative data on PAC providers
Health systems require qualitative data when evaluating post-acute care (PAC) providers as potential partners.
Payer-provider clinical alignment in Vermont
In Vermont, payer-provider collaboration has led to improved access to primary care, reduced deaths from suicide and drug overdose, decreased ratesof chronic disease and improved chronic disease management.
Joint venture removes provider, patient and payer barriers
A joint venture between Banner Health and Aetna aligns value-based care with economic incentives to reduce the cost of care.
Coordinated care reduces hospitalizations
Aetna joint ventures reduced unnecessary hospitalizations by 7% in the first four months of 2018 as compared to CY17, according to Brigitte Nettesheim, president, North Central Region & Joint Ventures for Aetna. Nettesheim says the improvement in hospitalization rates is supported by coordinated care and direct contact with patients and their physicians. “As an example,…
Dental center prevents ED visits, provides hospital referrals
St. Bernard Hospital Dental Center offers comprehensive and hard-to-access oral health services and surgeries to pediatric and adult patients on Medicaid, particularly special needs patients, which reduces costly emergency department visits and offers referral opportunities to other hospital services.