The health care industry is becoming a “retail” industry with individual customers shopping for individual products and services based on...

The transition of the healthcare market from the volume-based payment of the past half-century (where we always got paid to do more: more...

6 steps to transition your organization to a performance-based physician compensation model Since the passage of the Patient Protection...

At a Glance The transition for hospitals from having a purely provider perspective to thinking more like a health plan will require...

PCMHs and Medical Neighborhoods Provide a Pathway to Clinically Integrated Physician Networks and Accountable Care Organizations In...

Healthcare reimbursement is rapidly evolving from primarily fee-for-service to value-based, risk sharing accountable care contracts....

Boards can use these seven questions to stay ahead of the market The expansion of coverage mandated by the Affordable Care Act and the...

Super ACOs aim to maintain the local character of independent hospitals while meeting increasing cost and quality requirements A...

Introduction Overall, Medicare accounts for approximately 20% of the total domestic healthcare spending, but is often 50% or more of a...

A Priority for ACOs Pursuing Population Health Management The past few years of the “Great Recession” have been a wake-up call for many...

Improved care coordination for patients requiring both physical and mental health services could save the U.S. healthcare system $26...

The Centers for Medicare & Medicaid (CMS) released its 2014 Medicare rates and regulations this week in what is informally known as the...

A Step Toward Population Health Management By improving care coordination for patients who receive full benefits under both Medicare and...

Executive Summary A recent BDC survey of national and regional Health Plans indicates there is a resurgence of narrow, tailored, tiered...

One of the major provisions of the Affordable Care Act (ACA) calls for the development of health insurance exchanges to provide...

For health care strategists there is at least one certainty about our rapidly changing health care environment: Hospitals and health...

In the near term, the focus of reform will shift to the states, where the future of Medicaid Expansion and the organization of Health...

A Four Part Series The Cost of Restructuring Imperative and the Need for an Operational Strategy The Imperative As our colleagues have...

PUBLICATION ABSTRACT Improving margins on Medicare patients requires a strategy that balances changing business models to increase...

For most of the past three decades or longer, payers and providers have been distant neighbors and traditional adversaries – sometimes...