What are some common sense strategies to provide greater pricing transparency? Do a thorough analysis of all charges and payer data Determine which service lines are the most profitable Determine which service lines have the strongest brand and which ones are emerging as important revenue-generators Drill down to the self-pay patient subset by service line, […]
Will the coming year bring more substantive change to what remains of the ACA? Will the level of M&A slow down or pick-up speed again? Will the market see more disruptors, either well-funded start-ups or companies from other industries that believe they can take a significant bite out of the health care market? Will behavioral […]
One of our clients recently told us he wants to preserve his hospital’s existing FFS net revenue stream to ensure fiscal sustainability, grow brand strength, and transition to some value-based care. This is not an unusual request given today’s health care environment. We design a two-tier approach that starts with a thorough review of charge […]
Most of us look for strategies that work immediately but also have enduring benefit. Yes, 2019 is the year hospital providers must post on their websites what they charge for select procedures and services. This is designed to produce consumerism where patients ‘shop’ for the lowest price as they do when purchasing automobiles, smart televisions, […]
Will President Trump’s Executive Order to force greater pricing transparency prevail? If it survives legal challenges, will it drive more people to shop for health care based on price and not reputation (brand)? And, will it reduce the overall cost of health care? Some believe this actually could drive-up prices for most services. Consumers can’t […]
We don’t sell a data platform for financial success, but instead provide Strategic Advisory for the charge master anchored by the use of state-of-the-art financial software. Our PinPoint algorithm discerns the statistical relationship among service line charges, volumes, individual service line profitability, payer contract reimbursements, and other key factors that determine financial success for hospitals. […]
Using predictive pricing analytics to model various revenue scenarios is the only proven way to forecast future net revenue accurately. Our PinPoint algorithm uses predictive pricing analytics to accomplish this, giving CFO’s a powerful statistical tool at budget time or any time of the year. This will enable you to hit financial targets, starting with […]
Today’s health care has more initiatives and directives than ever before, thus it’s easy to get lost in the weeds of change and process. A recent survey of CFO’s again confirmed the importance of securing the hospital’s net revenue stream moving forward. An article last week in a leading health care online newsletter explained why […]
The Senate seems poised to vote for what leadership is calling a fix to ensure the stability of the federal exchanges, yet it appears to be little more than a continuation of the ‘hand-outs’ to insurers. It will extend the subsidies for 2018 through 2019, long enough to get through the coming 2018 Congressional election […]
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