Published By: McKesson
Published Date: Mar 09, 2016
The ripple effect of healthcare reform is beginning to impact care delivery strategies as care management now falls increasingly to providers.
According to a recent HealthLeaders Intelligence survey, hospital leaders are making progress with care management efforts, but more robust tools will be needed if hospitals want to scale up. The October 2014 survey polled 134 senior, clinical, operations, finance, marketing, and information leaders across the healthcare spectrum. The majority of respondents were from nonprofit organizations (63%), while the remainder (37%) came from for-profit settings.
Healthcare reforms have prompted hospitals across the country to improve cost efficiencies wherever they can. In response, the accounts payable department of Southern Louisiana’s Ochsner Health System discovered a solution that helped improve cash management while reducing costs.
Healthcare reform regulations, increasing costs, and more competition are driving employers and their health plans to focus more than ever on opportunities to reduce cost trends. For example, the country experienced a 3.0% growth in per capita gross (allowed) medical and pharmacy costs from 2012 to 2013. Truven Health Analytics anticipates those costs in 2014 and 2015 will increase by 4% to 5% or more. By taking a data-driven approach, payers can manage costs and, ultimately, make their benefit programs sustainable in the context of healthcare reform. They can also maximize opportunities to improve population health and productivity and optimize the delivery of care.
As chief transformation officer at MemorialCare Health System in Los Angeles and Orange counties, CA, it’s Helen Macfie’s job to rethink the future of healthcare delivery. Lately, she’s been thinking a lot about healthcare reform and care redesign as the six-hospital integrated delivery system, with more than 200 care sites, focuses on growth across the Southern California region.
While several provisions of the new Affordable Care Act (ACA) have already gone into effect, there are several key dates business owners need to be aware of in the coming months and years. We’ve compiled a list, as well as several useful resources.
This white paper attempts to clear up some of the confusion about the requirements mandated by health care reform by addressing three key areas: reforms already in place, looming deadlines for employers, and open issues for individuals. Because the implementation process is
a process, there are aspects to health care reform that remain open questions. We address the areas above with the information available at the time of publication.
Did you know that two-thirds of U.S. health care spend, or $1.8 trillion, goes purely to salaries and wages? Yet our patient outcomes are on par with countries such as Cuba and Slovenia. Health care reform is changing the way our health care system operates and will ultimately affect your bottom line.
Dr. Robert Kocher, M.D. has been a key influencer of health care reform efforts in the U.S. In this white paper, Dr. Kocher discusses:
•Three recent policy changes
•Four potential outcomes of health care reform
•The evolving roles within the health care system
While the Affordable Care Act (ACA) increased the number of Americans with access to health insurance, U.S. employers and employees continue to struggle with rising health care costs and changing workforce demands. Recent Aon research shows that 20% of health care consumers cite high health care costs as the major reason they have either declined health care coverage, stopped taking medications, or avoided care altogether. If the U.S. health care system is to succeed, stakeholders across the health ecosystem must influence change in each market—employer, individual, and government (Medicare, Medicaid, and Tricare).
While each part of the three-legged stool is important, this paper focuses on five strategies Aon believes will strengthen the employer-based system—a system that provides health care coverage to well over half of Americans (61%, or 177 million).
Published By: QlikView
Published Date: Jun 12, 2013
Today’s healthcare landscape is characterized by unrelenting change and constantly increasing complexity. It can be said that the reforms of the Accountable Care Act (ACA) of 2010 exacerbate this situation while at the same time attempting to ameliorate problems over the long term. Whatever the case, healthcare providers have their work cut out for them – and no other part of the organization will play a more critical role than healthcare operations.
Published By: QlikView
Published Date: Jun 12, 2013
Today’s changing healthcare landscape demands more from the finance department than ever before. No longer a sideshow in the healthcare delivery equation, finance now plays a starring role as hospitals and healthcare providers of all kinds face the
challenge of implementing the reforms of the Affordable Care Act (ACA) of 2010.
Healthcare organizations are facing uncertain times, which are putting enormous strains on their revenue cycle management (RCM). Automation is proven to improve RCM measures, and even small improvements can significantly impact the bottom line. This whitepaper details how providers can embrace automation to help drive financial performance.
Children’s Mercy is not only one of the nation’s top pediatric medical centers, they have a strategy that improves organizational profitability in the face of constant change – all while delivering world-class care for their patients. Children’s Mercy accomplished what many have tried: integrating hospital and ambulatory revenue cycle activities with complete integration of all processes on a single IT platform.
Sharp is leading the way in the shift to shared risk. In this journey, they manage to the right financial metrics while still delivering appropriate care to their patient population. Watch the video to learn how GE Healthcare is helping Sharp make a difference.
The shift to value-based reimbursement (VBR) entails more financial risk for providers. Successful management of the transition to VBR can only be achieved when healthcare organizations are clinically and financially integrated to ensure tight care coordination and efficient resource utilization. That level of integration requires the aid of a robust IT infrastructure to support the enterprise. This whitepaper offers the opportunity to learn about new tools for healthcare providers to manage financial challenges associated with value-based reimbursement
This paper will explore some of the market dynamics driving the financial volatility in healthcare and will explore how advanced analytics, with the right IT backbone and organizational competencies, can help organizations successfully identify ways to manage revenue cycle profitability.
Learn how to maximize efficiencies through greater system integration and automation, enable seamless interactions with providers, members and other constituents, and drive increased healthcare value with automated, value-based programs.
This paper, the second in a series addressing four key challenges of healthcare reform, focuses on actions you can take now to streamline core administrative processes to drive efficiency and reduce costs.
The evolving healthcare landscape has created a wealth of fresh opportunities for payers. There is a sense of urgency for payers in leadership roles to leverage technology and successfully transition to a value-driven healthcare system that rewards top performers and high quality standards. Passage of the Patient Protection and Affordable Care Act (PPACA) quickly changed many aspects of payers' business with higher costs, new oversight, more competition and a longer-term promise of millions of new members. Since healthcare insurance reform became law, opponents have vowed changes, if not its outright repeal. While it may be tempting to take as little action as possible and hope that the 2010 mid-term election or 2012 general election will make this all go away, the reality is that repeal is not a likely possibility.
Payment reform has long been discussed in health care, as escalating costs have spurred calls for changes to the dominant fee-for-service model. Learn the capabilities that you can develop to not only help position your practice to respond to any of the payment reform models likely to occur in the future, but also make your practice more successful now.