topic: Competitive Marketplace
All-Payer Claims Databases (APCDs) offer considerable potential, yet what is their ultimate value? What can states with new APCDs, such as California, learn from one another as they build them? And how can health care organizations in these states best prepare to be part of an APCD?
With enterprise portfolio management (EPM), large projects are centrally evaluated to determine overall progress and effectiveness, actual project spend versus budget, and continued alignment with the larger, strategic objectives of the organization.
As primary care practitioners consider participating in the Primary Care First (PCF) initiative, it will be prudent to determine their practice’s tolerance to assume the financial risk for population management, as well as broadly assess their readiness to deliver comprehensive primary care to achieve PCF's targets.
As seen in the AAHAM Journal. Workplace violence against health workers is rising and gaining more attention from providers, professional organizations, the media, and regulatory bodies such as the Joint Commission, which recently published a Sentinel Event Alert on the topic. From 2002 to 2013, incidents of serious workplace violence against health care workers were four times more common in health care than in private industry, according to the Occupational...
Many questions arise with a merger or affiliation: Will departments and staffs be combined, will there be a consolidation of the systems used, and will there be opportunities to create a shared services model? Ultimately, how do you ensure merger or affiliation success? Here are seven detail-oriented steps to consider.
As seen in HealthCare Business Today. Interested in quickly improving the clinical and financial performance of your medical group or practice? It starts by building a more engaging, patient-focused culture in your organization. That’s the key takeaway of a recently released report from the Medical Group Management Association (MGMA), which found that fostering a patient-centric culture...
In years past, health care CEOs and other top executives could typically single-handedly fulfill their designated roles. Today, that is often no longer possible. Increasingly, due to significant business, regulatory and cultural changes and expansions, health care organizations are employing chiefs of staff to support their CEOs and other senior executives on a temporary or even permanent basis.
Knowledge management helps health care organizations of all types and sizes more effectively manage internally and externally generated knowledge, enhance care and customer/patient service.
A leading health care system sought to develop, in partnership with a national insurer, a new health plan marketed to fully insured individuals and self-insured employers. This joint venture would emphasize using data analytics and population health technology to identify at-risk patients sooner and provide them with earlier care access.
We show how it is possible to maximize and systematize your risk arrangement opportunities by pursuing a two-stage, value-based care initiative. The key is adopting a team-based approach toward governance, shared vision, accountability, flexibility and execution.
With a focused effort and the right resources, it is possible to create a modern, efficient and timely referral process that enhances office practices and increases patient satisfaction and referral compliance.