According to the “Rule of Three” in business and economics, all major industry sectors, no matter how fragmented, ultimately coalesce such that no more than three full-line generalist mega players together dominate the market. Most healthcare provider markets today are moving in that direction; some are already there. But the most dramatic changes are still to come.
Academic and community health care providers are still too often trying to position themselves as winners in a competition for patients rather than as collaborators in population health. The result has historically been duplicative investments despite geographic alignment and shared patient populations.
Developing integrated, value-based care delivery models requires unraveling existing systems and processes and weaving together new ones in new ways. It’s an uncomfortable, disruptive effort with few guidelines, and most hospitals and health systems in the midst of it are finding it messy and complicated.
The Bipartisan Budget Act of 2015 will exclude newly acquired, off-campus HOPDs from being reimbursed under Medicare's outpatient hospital prospective payment system.
Congratulations to John Fink on receiving the Healthcare Financial Management Association's Helen Yerger/L. Vann Seawell Best Article Award for 2014–2015!
Learn how to better manage costs of care through effective physician network design and care delivery.
ECG has a front row view of how reform and the transition to value-based care are playing out across the country. Here are some of the prominent themes we are observing.
Children’s hospitals and academic institutions have traditionally enjoyed a mutually beneficial relationship. But this arrangement has been such a natural fit for so long that the agreements governing such relationships often go unexamined.
The transition to value-based care is challenging executive and physician leadership to develop a clear vision for the future of their organizations.
Page 3 of 6