Delivery System Transformation

Now that the King v. Burwell verdict is behind us, let’s look at the case through a different lens. If you and your board members were well-informed about the case and its implications, your board is likely well-positioned to monitor enterprise risk-management developments.…
SNAPSHOT Hospital and system leaders say that they are acclimating to the transformed health care environment, but risk-based contracts, pressure to grow and regulatory scrutiny continue to buffet their organizations. Over breakfast, a small group of hospital and health system…
The board is responsible for setting the hospital or health system’s mission and vision, and for engaging leaders and staff in working toward that vision. After the board, no individual has more influence over the organization than the CEO; however, the board defines the leadership…
Snapshot What are the levers that are moving health care toward transformation? Thinking about how we can unite to support these drivers of change constitutes a new kind of industry handbook.
Snapshot State Medicaid programs are saving money and improving quality by adding risk-based reimbursement and care models that wrap around patients. The states to watch are Oregon, Arkansas, Vermont and New York. With many in the hospital field looking to Washington, D.C., for guidance on how…
U.S. health care access and quality are improving as demonstrated by a decrease in the rate of uninsured adults seen in the first half of 2014, according to a report recently released by the Agency for Healthcare Research and Quality. However, the 2014 National Healthcare Quality and Disparities…
The number of emergency department visits also grew by 6 percent, according to AHA DataViewer. At the same time, rural hospitals boosted their workforce: the number of FTEs increased by 7 percent. Although rural hospitals had more than 4 million inpatient admissions in 2013, that number represents…
A strong, consistent governance and leadership focus on doing what’s best for patients and communities is positioning physician organizations as significant drivers of improved quality and financial performance and as architects of the new care delivery system. This is one of the key findings of a…
Since the Affordable Care Act became law five years ago, it has led to major shifts in health care delivery and payment.
Payers in population health contracts are using claims data to identify the physician responsible for a patient’s health and spending. It’s an inexact science that can aggravate providers before empowering them.