Hospitals are wellness centers at their best, yet more patients today have comorbidities when they engage initially with a physician. The goal is as one long time CEO framed it, transition over time from Downstream to Upstream medicine to prevent disease. The pandemic confirmed America has a significant wellness deficit and now faces 3 realities: […]
Ours is a unique industry, part business and part regulated entity dependent on third party payers and government. This makes hospital budgeting much more complex than annual budgeting for a business. You parsed the pre-pandemic historical data because it serves as a benchmark for post-pandemic performance. You’ve also likely delineated pandemic years’ performance into meaningful […]
How did we get here? Data during the pandemic shutdown is skewed. Millions of Americans were petrified of dying from COVID, so they stopped seeking treatment for disease or illness. The FDA warned people to shelter in-place if they contracted Covid, yet we now know we needed to seek treatment within the first 5 […]
Few hospitals have charge-based reimbursement contracts. Indeed, over 80% of payer contracts are negotiated fixed-fee reimbursement with the balance being shared-risk based on patient outcomes known as value. One recent analysis concluded it is virtually impossible to make more money in a value contract than fixed-fee reimbursement when service line payer mix is heavy on […]
Pricing transparency is here, but has it made a difference in service line volume and ROI? Is there a way to make the charge master relevant again, grow sales, and increase ROI? The mandate for pricing transparency was based on the predicate that consumerism would do for health care what it has done for […]
Ideation, conceptualization, problem-solving, data modeling, and predictive analytics are key to our Strategic Advisory consulting. We provide a Strategic Advisory that converts challenge to opportunity. While many remain focused only on drilling-down to ‘the why’, we also review different strategies consistent with answering the other question, ‘why not’. Determining ‘the why’ is a hands-on intellectual […]
Only problem solvers need apply, but each senior leadership team has different and unique needs. CFO’s are operational, involved in every major decision that determines operational sustainability in an environment where change is the norm and the pace is accelerating. The pandemic was an incubator of sorts, but it really was a high wire act […]
A recent study of hospital operating margins confirmed the importance of a new growth strategy to ensure fiscal sustainability and meet the needs of the population you serve. Capturing all data across the enterprise and making sense of the data you have is a must. You look for data-driven insights that are key to new […]
You know which service lines are strong revenue drivers, which ones are emerging as stronger drivers, and which services need to be strengthened. Precision data analytics confirms the value of your hospital’s book-of-business at any one time by distilling each revenue driver’s charge and payer data to a series of comparatives and summaries that measure […]
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