Financial Oversight
Trustee talking points
Hospitals and health care foundations have been operating in a favorable charitable environment.
Prospects could change in the face of greater financial volatility and transformation in health care.
Hospital and foundation boards need to take a balanced…
Trustee talking points
Provider-sponsored health plans offer a good way for hospitals and health systems to take on risk as they move toward value-base care.
The Centers for Medicare & Medicaid Services last year set the ambitious goal of tying 30 percent of Medicare fee-for-service payments to quality or value through alternative payment models by the end of 2016 and 50 percent by the end of 2018.
The agency announced in May that it had already…
Trustees of nonprofit health care organizations appreciate that revenue from fee-for-service reimbursement has been the basis for keeping their institutions financially sustainable over many years. Such revenue has provided capital to start new programs, build facilities, recruit physicians and…
Many hospital and health system boards and their leadership teams are at an interesting juncture where each is heavily reliant on the other for strategic support and execution. They have a shared goal of successfully moving their organizations forward at a time when the field is in an overwhelming…
By now, every health care leader understands that the Affordable Care Act is catalyzing a complete transformation of the field, including reimbursement arrangements, business models and mechanisms for delivering care. This means that we can no longer look in the rearview mirror to inform future…
Trustee talking points
Provider-owned health plans are becoming more common as hospitals and health systems look for ways to manage value-based payment and assume risk.
Benefits of a POHP can be numerous, whether they be economic, clinical or strategic.
Trustee talking points
Collaboratives or alliances of neighboring health systems are an alternative to formal consolidation.
They provide a way for systems to gain efficiencies of scale without losing independence through a merger.
Hospitals and health systems have the ability to shape more effective health care through choices they make about managing their own employee health plans.
In today's environment of change and transformation, some nonprofit hospitals and health systems are considering the possibility of selling to for-profit providers. A central concern for boards engaged in strategic deliberations about a potential sale is preserving the charitable mission,…