The combination of expanding consumer engagement, increasing price transparency, and growing value-based care is forcing health systems to rethink their traditional pricing policies. Insurers, employers, and consumers are all intensifying pressure on reimbursement, targeting high-margin services. BDC’s history in working at the payer-provider intersection allows us to help providers implement pricing strategies that are a “smooth glide slope” from fee-for-service to value-based reimbursement.
No amount of strategic pricing, however, can insulate health systems from cost structures that are fundamentally uneconomic. For historical reasons, many health systems are over-bedded and under-resourced in ambulatory care, and their clinical assets will need to be “right-sized” to meet the needs of future consumers. BDC works with system executives, physicians, and staff to project market demand, utilization, and the need for physical assets to support programs and services. We identify opportunities for consolidation and rationalization, evaluate and prioritize opportunities, and implement needed changes.