As healthcare costs pose an ever-greater burden on employers, they are growing frustrated with payers’ inability or unwillingness to create value and improve quality. As a result, employers increasingly seek to engage in direct relationships with the providers of care.
Such relationships can involve bundled payment programs for episodes of care, centers of excellence programs and narrow network tactics that can align private and employed physicians, hospitals and health systems, and employers.
Purchasing accounts for about 25% of operating expenditures at healthcare organizations. With a large portion of the bottom line as well as clinical outcomes at stake, finance leaders, physicians, and supply chain managers need to work together when making purchasing decisions. A clinically integrated supply chain that balances cost, quality, and outcomes can achieve efficiency and value objectives.
Smart financial leaders realize it’s becoming more important to engage patients in managing their financial obligations for healthcare costs; helping patients navigate what can be a confusing and vulnerable financial situation pays dividends in financial performance and patient satisfaction. In this HealthLeaders Media Roundtable, leaders shared ideas, insights, and strategies about the latest tools, tactics, and trends in patient financial services.
In an industry rich with payment reform, changing care models, mergers and acquisitions, and increased consumerism, healthcare executives are tasked with finding solutions to enable organizations to remain financially viable while delivering high-quality care across the continuum. When developing strategic plans to meet these goals, laboratory services is one area that should be considered. While some organizations opt to outsource laboratory services, others see the lab as an area for investment and growth, giving hospitals and...
Data is ubiquitous in healthcare, but developing operational and strategic imperatives from it is dependent upon analytics—the discovery and interpretation of meaningful patterns in that sea of data. Beyond reporting and tracking clinical, financial, and operational information, healthcare leaders need to step back and ask: What is this data telling me? What actions should I take based on an analysis of the data?
Innovative leaders are leveraging analytics to drive deep change in the culture of their organization to enhance operations...
With the shift from fee-for-service to value-based payment accelerating, most healthcare finance leaders are focused on adopting and operating risk-based reimbursement models for medical services. A variety of reimbursement arrangements are at play, including bundled payments accountable care organizations, shared savings programs, MACRA, and directto-employer health plans. To succeed in this business model shift, health systems, hospitals, and physician practices face daunting challenges to develop the essential competencies required to manage risk-based...
