The World of Reimbursement Is Changing: Is Your Practice Ready?

Faced with the dramatic escalation of healthcare costs, providers, commercial payors, and the government are testing different methodologies for reimbursing cancer care. The aim is to shift the economics from a fee-for-service environment to a value-based environment that rewards quality, efficiency, and a lower cost of care. However, simply acknowledging the evolving landscape will do little to help oncology providers in preparing and positioning themselves for the transitions ahead. Read this article by Jessica Turgon for Oncology Practice Management to learn about emerging reimbursement methodologies for cancer care and why oncology practices need to be responsive, rather than resistant, to these new payment arrangements.

Value-Based Enterprise Conversation Series: Scaled

A health system that is scaled can support services and initiatives that individual organizations cannot. Economies of scale enable systems to spread overhead across a larger revenue base, strategically utilize resources and deploy capital, and succeed in more dynamic contracting models.

Healthcare executives and hospital boards across the country are realizing that they must build greater scale within their organizations if they want to remain competitive. Yet many healthcare leaders are still trying to determine how exactly to achieve the desired scale.

Kevin Forster is the leader of ECG’s Healthcare – San Francisco practice, and his 15-plus-year consulting career has emphasized hospital strategic planning and business development, physician/hospital relationships, and detailed financial and operational assessments of medical groups/physician networks. As healthcare organizations attempt to position themselves to deliver care in a value-based environment, their leaders engage Kevin to address key issues related to scale and strategic positioning, with matters ranging from acquisitions/partnerships to geographic expansion.

As part of our ongoing series of conversations about the value-based enterprise, Kevin shares his insights on the advantages of scale and the challenges that health systems encounter as they strive to achieve it. Continue reading

Three Steps for Keeping Physician Compensation Affordable

As physician compensation and reimbursement rates continue trending in opposite directions, many health systems are discovering that they’re spending more on their employed physician practices than they can afford. Health system leaders are seeking ways to correlate compensation with market factors and the financial realities of a practice. However, most compensation plans are based on external market data, which often results in remuneration that has no relation to the financial position of a given organization. Continue reading

What’s Trending? Observing the Impact of Healthcare Reform

Healthcare reform and evolving reimbursement models are transforming the way care is and will be delivered and paid for. This has incited myriad responses by hospitals and physician groups, as well as other stakeholder groups, across the country. By working with healthcare systems and providers throughout the United States, ECG has an all-access view of how reform and the transition to value-based care are playing out in different regions. Here are some prominent trends we are observing. Continue reading

Five Attributes of the Thriving Value-Based Enterprise

Since the early 1990s, conversations about healthcare reform have taken place almost entirely in the future tense. Transformational change was desired but distant, interminably stalled by divisive politics and endless disagreements about what a new healthcare model should look like. A reformed system remained a hypothetical scenario; something that might happen someday.

Now it’s 2015, and if you’re still talking about reform in the future tense, you may soon find your organization being referred to in the past tense. Continue reading