Increased demand for higher quality, lower costs, and more coordinated care is driving provider consolidation across the country, including the orthopedic ASC market. As a result, there are complex dynamics that must be evaluated in determining the future viability of independent, physician-owned orthopedic ASCs.
Over the past decade, orthopedic and musculoskeletal (MSK) services have been immune to many of the negative reimbursement trends experienced by other specialties. Now, however, that immunity is beginning to wear off.
As we head into 2014, hospitals and health systems are confronting a number of challenges to remain competitive in their respective markets. The emphasis on cutting costs and reducing reliance on hospital utilization will be felt across the entire healthcare industry, but there are unique obstacles – and solutions – facing each different type of organization.
The PPACA created state-specific health insurance exchanges, now referred to as “marketplaces,” that are designed to offer consumers a side-by-side comparison of available health plans. This article addresses the challenges of health exchanges and provides recommendations for providers regarding proactive operational and strategic tactics to achieve success in the new healthcare reform era.
This Massachusetts Medical Society (MMS) publication provides detailed guidance on the issues that physicians should consider if they are currently participating in an accountable care organization (ACO), forming or joining an ACO, or entering into an integration agreement with another healthcare organization.
This article is the second in a series that describes the most common types of hospital/physician payment arrangements within an academic medical center.
The recent frenzy of physician practice acquisitions has created a sense of urgency for hospitals and health systems to complete these transactions quickly in order to remain competitive. This article discusses six elements necessary for a professional fee billing operation to be successful.
Our goals are to maximize the numerator by achieving optimal outcomes and minimize the denominator by better managing resources.
Analyzing the potential financial impact for your organization within a likely range of both reimbursement rates and payor mix shift will be a key component of your strategic planning for health exchanges.
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