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Financial Risk Management in Health Care

Assuming business risk is part of the new healthcare marketplace. Healthcare risk management requires new approaches and insights and forward-looking thinking in rapidly changing circumstances. What is your risk management plan?

Navigating the Good Ship Payment Reform Griffin Myers Panel Clip Still

New Marketplace

Navigating the Good Ship Payment Reform

In navigating toward payment reform, where are we going, and what’s the motive for getting there?

Leadership

How to Have a High-Performing Employed Medical Group Without a Hospital Subsidy

It’s a generally accepted view that all hospital-employed physician groups are constitutionally incapable of operating without financial support from the hospital. PinnacleHealth Medical Group found that commonsense tactics can eliminate the need for hospitals to expend precious resources to support employed physicians.

New Marketplace

Reframing the Conversation on Drug Pricing

We can’t afford for current trends to continue. There is only one solution.

New Marketplace

Navigating Pharmaceutical Price Increases: A Strategy to Protect Appropriate Use, Reduce Waste, and Identify Therapeutic Alternatives

In the face of major pharmaceutical price increases, Cleveland Clinic developed a strategy to ensure high-quality patient care while maintaining financial stability.

New Marketplace

Paths to Value: The Act of Improvement versus the Habit of Excellence

Federal pay-for-performance models offer two paths to achieving value. The ultimate goal: rewarding the habit of performance excellence rather than one-time or random acts of performance improvement.

You Get What You Pay For: Health Care Risk Models Panel Clip Still

New Marketplace

You Get What You Pay For

What is the necessity of moving toward more payer or provider risk in the Medicaid space?

Leadership

Turmoil in the Individual Insurance Market — Where It Came From and How to Fix It

The threat to individual market stability is real. We need to fix it before it's too late.

cost-sharing reduction payments

Leadership

Infographic: The Loss of Cost-Sharing Reduction Payments Would Destabilize Insurance Markets

The loss of CSR payments would create some short term chaos in the market, but it would not significantly impact the number of people covered.

Root Cause Analysis: Typical Domains of Root Cause: Medical Errors

Care Redesign

Does Every Hospital Admission Deserve a Root Cause Analysis?

Will applying the RCA rubric to hospital admissions better help define and manage care?

New Marketplace

Targeting Unconscionable Prescription-Drug Prices — Maryland’s Anti–Price-Gouging Law

Why, in the early 21st century, are so many drugs that were cheaply available in the 20th century becoming prohibitively expensive?

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