Maximize Practice Value with Enhanced Contracting Strategies
Practices trying to improve their viability or considering or pursuing an equity transaction should look at ‘low hanging fruit’ opportunities for commercial payment increases.
Measuring Health Care Innovator Value
The US healthcare system is known for its high costs compared to other developed countries. Several factors contribute to this, including administrative expenses, pharmaceutical prices, and the...
What is the “Value” in Value-Based Care?
In the ever-evolving landscape of healthcare, the terms "value-based reimbursement" and "value-based care" (VBC) have become buzzwords that signify a shift in how we approach...
Absence of Variation in Health Care
As we try to identify key causes of high US healthcare costs, the topic of variation, specifically variation in practice style, often emerges. It is an accepted fact that in manufacturing quality...
Paying the Piper: How 2020 Could Make 2023 Even Tougher for Value-Based Care Providers
It’s widely predicted that 2023 will pose broad economic challenges. Reasons abound for a potential recession, but in many ways, it’s time to pay the piper for actions taken during COVID. That’s not to suggest no fiscal...
Value-Based Care’s Impact on Healthcare Mergers & Acquisitions
Provider reimbursement models are evolving as the healthcare system attempts to combat rapidly rising healthcare costs. A major development has been the push towards value-based care (VBC). Value-based payment
Cost Disparities in Employer-Sponsored Health Insurance
The general election is less than a month away as of this writing. Health care is at the top of mind for many as an issue this election—as it was in the last election and the one before that. Access to health care has gained...
Post-Acute and Long-Term Care in a Post-COVID World
The high mortality associated with COVID-19 cases in nursing homes is staggering. As of September 1, COVID-19-related deaths in long-term care (LTC) facilities comprise more than half of documented deaths from the disease...
How is Your DOFR Doing?
A Division of Financial Responsibility (DOFR) is a provision in a contract between a health care provider and a health plan or payer that defines which party is financially responsible...