Pursuing Success in a Value-Based World

The Affordable Care Act has fended off multiple legal challenges. CMS has already implemented one mandatory bundled payment initiative and is eyeing more. MACRA looms on the horizon.

It’s an understatement to say the healthcare industry is in a period of dramatic change, and the continuing shift to value-based care will require radical thinking on the part of health system executives. But for those leaders willing to embrace change, the evolving landscape offers tremendous opportunity to remake their organizations and achieve new levels of success.

In this brief video, ECG Principal Jim Lord talks about the transition to value-based care and how forward-thinking health organizations can position themselves to thrive.

CMS’s Mandatory AMI Bundle Is Cause for Chest Pain

This week the Centers for Medicare & Medicaid Services (CMS) announced a new mandatory bundled payment program for cardiac care. The proposed 5-year demonstration would go into effect on July 1, 2017, in 98 to-be-identified markets. The model would make hospitals financially accountable for the cost and quality of care for acute myocardial infarction (AMI) and coronary artery bypass graft (CABG) during inpatient stays and for 90 days following discharge. Continue reading

When an EHR Isn’t Enough

The healthcare industry’s transition away from a fee-for-service environment has spawned a litany of new care models. Patient-centered medical homes (PCMHs), accountable care organizations (ACOs), and the like may differ in certain respects, but they all share a common goal – to improve the quality of patient care and reduce costs through better coordination.

Another thing they have in common? They need the right IT system to be effective. Continue reading

When Data Becomes Strategic

We have been told that data leads to information, and information leads to knowledge. It is this knowledge, then, that drives innovation – the engine powering transformation in healthcare. While the luster of innovation is what grabs our attention, data and analytics are what make it possible in the first place. Continue reading

CJR Program Success: Stick to Metrics That Matter

Data can be a valuable strategic asset for hospitals. Benchmarked internally and to national best practices, it can be used to identify opportunities to lower costs as well as improve quality and patient outcomes. But hospitals only benefit when the right data is communicated in the right way to the right stakeholders at the right time. Continue reading