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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?

Pham03_pullquote payment and delivery-system reform

New Marketplace

Payment and Delivery-System Reform — The Next Phase

To truly redesign a system, one has to take a holistic approach and move multiple levers in concert, rather than fiddling with individual factors serially and hoping for a coordinated effect.

Safety-Net Providers Lead Disruptive Innovation to Cut Overuse - Frederick Cerise talk still

Leadership

Safety-Net Providers Lead Disruptive Innovation

It should be no surprise that simpler, cheaper, and more convenient care arises from safety-net providers.

Birkmeyer02_pullquote - national physician practices NPPs

New Marketplace

Aggregators, Innovators, and the Resurgence of National Physician Practices

A perspective on the growth of NPPs and the ideological divide between for-profit and nonprofit providers.

Hospital-based ACOs Key Capabilities Are Different Based on Level of Risk

New Marketplace

Hospital-based ACOs Face Challenges in Tracking Performance Indicators

A focus on bundled payments for specific episodes of care — versus the broad changes required in an ACO model — may be a more effective method for ACO participants to develop capabilities required to measure utilization, cost, and revenue metrics.

Griffin Myers Head Shot Oak Street Health

Care Redesign

Rebuilding Health Care as It Should Be: Personal, Equitable, and Accountable

How Oak Street Health, a full-risk, value-based primary care model and social determinants practice, embeds itself in the community to keep its elderly population, “happy, healthy, and out of the hospital.”

Endless Forms Most Beautiful - Evolving Toward Higher-Value Care Cover Image

Care Redesign

Endless Forms Most Beautiful: Evolving Toward Higher-Value Care

How Providence St. Joseph Health devised a Value-Oriented Architecture to guide physician practice.

Growth in alternative payment models shared savings shared risk bundled payments population-based payments

New Marketplace

The State of the Evidence on Payment Reform

Despite some successes among the many efforts to execute value-oriented payment models, the lack of rigorous independent research studies impedes robust progress.

Goals for Health Care Price Transparency and How to Measure Its Success

New Marketplace

Defining the Goals of Health Care Price Transparency: Not Just Shopping Around

What policymakers, providers, and payers need to do to make price transparency successful.

Liljenquist01_pullquote generic drugs

New Marketplace

Addressing Generic-Drug Market Failures — The Case for Establishing a Nonprofit Manufacturer

A consortium of hospitals and health plans is establishing a nonprofit generic-drug manufacturer to produce a steady supply of affordable essential drugs and stimulate competition in generic-drug markets.

Shrank02_pullquote IDFS

New Marketplace

Effective Consolidation: A Model for Reform Through Payer-Provider Integration

UPMC’s payer-provider partnership integrates real-time data to support improved clinical decision-making and optimizes clinical and financial performance.

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