ECG Management Consultants

ECG Thought Leadership Library

The following is a select list of thought leadership on this topic.


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Please login to view full publications. Recordings and/or handouts related to speeches or Webinars are not currently available on this site. If you wish to view a specific speech or Webinar, please e-mail us at ecg@ecgmc.com and we will contact you regarding your specific request.

The ECG Thought Leadership Compendia, dating back to 2007, may also be helpful.


Accountable Care Organizations


July 2014

Patient-Centered Care: Are You Ready?

Executive Briefing | Michael Duffy & Emma Mandell 

The patient-centered medical home (PCMH) is emerging as the core framework for care delivery transformation. This model is increasingly being utilized as a central component of accountable care organizations (ACOs), clinically integrated networks (CINs), and population health management initiatives. Because the PCMH model has become so critical to redesigning care delivery, ECG Management Consultants, Inc., has developed a qualitative and quantitative PCMH Readiness Assessment Methodology that reviews an organization’s ability to operate and successfully sustain a PCMH. This Executive Briefing discusses how ECG’s PCMH Readiness Assessment Methodology can be used by organizations to leverage existing strengths, address operational weaknesses, and identify resources to invest in key capabilities.


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February 2014

Positioning Strategies for a Value-Based World

Insight | Steve Messinger, Kevin Kennedy & Jim Lord 

Healthcare’s migration toward a value-centric payment system is disrupting “business as usual” and forcing provider organizations to adjust to reimbursement models and incentives that are based on shared savings and risk rather than volume. Determining how to successfully navigate this transition – and in a financially responsible manner – is one of the greatest challenges organizations face as we enter a new era in healthcare. Organizations that are disciplined in enhancing their current circumstances while strategically positioning themselves for the long-term implications and opportunities presented by healthcare and payment reform will be successful. This Insight asserts that healthcare providers and organizations cannot afford to take a holiday on long-term positioning strategies in the reform era and presents key considerations that organizations must address to reach an optimal end state in a value-based world.


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January 2014

Collaboratives, Consolidation, and Compensation: Seven trends to look for in 2014

Executive Insight | Steve Messinger 

We are in an unprecedented and historic time in the healthcare industry. The Affordable Care Act (ACA) is significantly impacting both how we pay for healthcare and how care is delivered. We are seeing consolidation across the industry, as well as cultural shifts in how we approach the care delivery process. Based on our work with healthcare organizations across the country, this article identifies seven trends to look for in 2014.

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November 2013

Affiliation Options for Independent Hospitals and Medical Groups

hfm Magazine | Gary Edmiston & John Fink 

Many independent hospitals and medical groups are pursuing affiliations with partner organizations to meet the challenges posed by healthcare reform and value-based payments.  Before embarking on such a strategy, however, these organizations should explore affiliation options beyond the typical merger or acquisition and seek a partner that exhibits complementary strengths to bring greater value to the market.  This article explores the strategies organizations should consider when pursuing affiliations, including clearly defining their objectives, assessing potential affiliation options, and identifying a preferred strategy based on the evaluation of different affiliation scenarios.
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November 2013

The Shift from Volume to Value: Emerging Reimbursement and Alignment Models

Jim Lord & Purvi Bhatt 

Consumers, employer groups, and governmental payors are demanding value for their healthcare dollars. To meet these demands for increasing value, providers are working with payors to revise payment methodologies that create the mutual incentives designed to reward the improved value. The Patient Protection and Affordable Care Act, a major driver in the evolution of the reimbursement system, has also generated a newfound impetus among many payors and providers to create more innovative, incentive-based payment systems. This Webinar addresses the innovative approaches and payment methodologies that are the building blocks for integrating care and provides an overview of the legal, financial, and organizational framework for accountable care organizations.


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November 2013

Fall Managed Care Forum
Developing a Patient-Centered Approach to Population Based Healthcare

Speech | Charles Brown & Emma Mandell 

The roles and responsibilities as well as FTE requirements within Patient-Centered Medical Home (PCMH) practices vary from traditional practices. There is no single answer to the staffing model, but there are multiple variables to consider – panel size, visit volume, visit length, support staff, and IT capabilities. This presentation reviews these different variables organizations should consider when developing a patient-centered approach.


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October 2013

Hospital & Physician Leadership Summit: Strategies for Accountable Care
Accountable Care Affiliation Models

Speech | Charles Brown & Katie Fellin 

Many health systems are pursuing accountable care affiliations as an alternative to mergers or acquisitions. These affiliations are taking the form of contracting networks and population health management organizations that cover wide geographic regions. This presentation reviews the organizational structure, governance, and management models for accountable care affiliations. It also examines required functions, approaches to physician alignment, and typical payor strategies.


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September 2013

A Three-Phased Approach to Creating a Sustainable Patient-Centered Medical Home

Diagnostic | Terri Welter, Charles Brown & Emma Mandell 

Increasing pressure to improve the value of healthcare has led to innovative models of care delivery such as the Patient-Centered Medical Home (PCMH). This structure emphasizes comprehensive, coordinated, and integrated patient-centered care that aims to improve health outcomes. At the same time, the PCMH model encourages greater efficiency, resulting in reduced waste and lower costs. However, simply implementing a PCMH is only the first step in a transformative process. This Diagnostic examines the three phases of the transformation process -- implementation, evolution, and integration -- and how they form the basis of a successful PCMH. Using these three steps as a guide, health systems can move beyond the implementation of their PCMH model and ensure its long-term sustainability.


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September 2013

MMS Guide to Accountable Care Organizations: What Physicians Need to Know

Massachusetts Medical Society | Christopher Collins 

This MMS publication provides detailed guidance on the issues that physicians should consider whether they are currently participating in an accountable care organization, forming or joining an ACO, or entering into an integration agreement with another health care organization. This issue includes assessing the readiness of a practice to join an ACO, choosing the right ACO, technology considerations, legal and governance issues, financial impacts, and achieving clinical integration.


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September 2013

HFMA MA-RI Chapter Meeting
A Three-Phased Approach to a Successful Patient-Centered Medical Home

Speech | Emma Mandell 

The patient-centered medical home (PCMH) model has emerged as a crucial component of current and future healthcare delivery. Its implementation alone, however, is not enough for healthcare facilities to ensure success over the long term; rather, it is one step in a transformative journey. This presentation explores a three-phase approach to the development and sustainability of a PCMH, including the implementation (learning), evolution (adopting), and integration (owning) phases.


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