About Jim Donohue

Jim is a Senior Manager in ECG’s Boston office and works in the firm’s Contracting and Reimbursement practice. With nearly 20 years of experience in the healthcare industry, he has been assisting provider organizations with issues related to payor reimbursement and revenue realization, as well as evaluating and executing strategies to project and improve upon their financial performance. Jim has conducted dozens of consulting engagements for clients focusing on managed care contracting, innovative and conventional reimbursement strategies, business operations, and strategic planning. Prior to rejoining ECG in 2008, Jim served as an independent consultant with clients that included Partners HealthCare System, Inc.; UMass Memorial Medical Group; Neighborhood Health Plan; and others. Jim holds a master of business administration degree, with a concentration in healthcare management, from the Boston University Graduate School of Management and a bachelor of arts degree from Boston University.

HHS Promises Big Changes – And Raises More Questions

This post was written by Jim Donohue, Senior Manager, and Richard Trembowicz, Senior Manager.

Recently the U.S. Department of Health & Human Services (HHS) outlined ambitious goals to significantly increase the percentage of Medicare payments that are tied to quality and cost effectiveness over the next several years. The proposal, announced by HHS Secretary Sylvia M. Burwell at a press conference on January 26, 2015, would move Medicare away from the fee-for-service (FFS) system, calling for 30% of Medicare payments to be tied to quality-based alternative payment arrangements by the end of 2016 and 50% by the end of 2018. Continue reading