Provider Network Analytics:
|
|
- Amber Curtis
- 6 years ago
- Views:
Transcription
1 Provider Network Analytics: Achieving Shared Savings in an MSSP ACO by Mapping Network Referral Patterns, Closing Gaps in Service, and Reducing Out of Network Patient Leakage The Client One of Fibroblast s clients is a $5.5 B integrated delivery network comprised of five hospitals, a 700-physician medical group, and 50 outpatient clinics. The client is in transition from fee-for-service to fee-for-value. Among other value-based contracts, the client s employed medical group and facilities participated in a Medicare Shared Savings Program (MSSP) ACO with approximately 15,000 patients. The client operates in a highly competitive, consolidating service area. It competes with three large, academic health systems and two community integrated delivery networks. Two of the academic health systems have grown through aggressive acquisition of area medical groups and community hospitals, a trend that is becoming more common with recent medicare payment reforms. The Client 50 Clinics 5 Hospitals 700 Physicians $5.5BRevenue The Client's Challenges The client failed to achieve any ACO shared savings through three full years of operation. Worse still, the ACO s actual total patient spend in 2015 was $8.7M more than its benchmarked or projected expenditures. Nevertheless, the client was committed to transforming itself into a value-based care organization, including participating in the the Next Generation ACO program (upside/downside risk), expanding its Medicare Advantage contracting, contracting with payors in commercial ACOs, and working with local employers to provide narrow network products. The client realized that taking on risk for the cost of patient care would be potentially disastrous if the client didn t first understand why it failed to achieve any ACO shared savings. It engaged Fibroblast to help. 1
2 Fibroblast's Solution Fibroblast s analytics solution combines technology and professional services to help clients uncover hidden, actionable insights. It has four components: 1. Goal Setting. The first component of Fibroblast s analytics solution is Goal Setting. Fibroblast and the ACO s leadership team determined the ACO s strategic, financial, and clinical quality goals for the upcoming performance year, and the most relevant questions to answer in order to meet the goals. Not surprisingly, the ACO s primary financial goal was to achieve shared savings. In order to do that, Fibroblast helped develop the following inquires to run on the client s claims data: How much care are ACO patients receiving within the ACO? How many patients are leaking out of the ACO network to area competitors? What are the root causes of the out-of-network (OON) expenditures? Which ACO providers are referring patients to OON providers? What is the cost of in-network care? What is the cost of OON care? What opportunities exist to improve in-network cost efficiencies? How would impacting ACO provider referral patterns affect down-stream patient spend lost to OON competitors? What are the current gaps in care by geographical service area? Which OON providers are the best to partner with, align, or employ? 2
3 Fibroblast's Solution 2: Data Scrubbing. The second component of Fibroblast s analytics offering is Data Scrubbing. Fibroblast took the client s raw, incomplete, inconsistent, and disorganized claims data and ran it through Fibroblast s proprietary data normalization application to standardize and organize it. This scrubbed data lays the foundation for Fibroblast s deep network analysis and provided the client with a complete, structured data set of its entire provider network. 3: Data Mapping. The third component of Fibroblast s analytics offering is Data Mapping. During this step, Fibroblast ran the client s scrubbed ACO claims through Fibroblast s proprietary data mapping tools and machinelearning algorithms. Fibroblast s technology mapped provider referral patterns and patient flows, identified the sources and recipients of referral leakage and OON spend, and calculated certain revenue and cost of care metrics for the ACO. Fibroblast identified and ranked each ACO and OON provider according to each provider s contribution margin and affiliation with the client. Fibroblast s technology also produced various heat maps, indicating where the client had gaps in specialty or geographic coverage, and, in areas where it did have coverage, where the client was losing out to competitors head-to-head. 4: Opportunity Targeting. The final component is Opportunity Targeting. Fibroblast presented the client with Fibroblast s analysis and suggested opportunities to improve the ACO s financial performance. Fibroblast also gave the ACO s leadership team an interactive, webbased dashboard for the ACO leaders to explore additional data elements on its own. 3
4 Actionable Insights Fibroblast s analytics solution helped the ACO identify the following opportunities to achieve shared savings in the upcoming performance year: Leakage Root Cause Identified. Fibroblast was able to identify the ACO providers responsible for the most OON leakage and map the providers referral patterns. Armed with this new information, the client was able to engage the providers in discussions to identify the root cause of their OON referrals. It turns out that 80% of them were referring to OON providers because they had a fundamental lack of understanding of the ACO network. It was not clear to them which ACO providers were part of the network and which weren t; their default was to refer patients based on personal relationships and affinity, not based on objective measure of quality, cost, or network alignment. Providers agreed that having ACO network data at the point of care would help them make more informed referral decisions, specifically including referring within the ACO. To solve this problem, the client resolved to implement a referral management solution to automatically and comprehensively manage network referrals, including deploying a referral decision support tool to algorithmically guide referrals to the highest quality, lowest cost, most aligned ACO providers. 4
5 Actionable Insights Gaps in Services Closed. Fibroblast helped the client identify geographic and strategic gaps in its services. Prior to Fibroblast, the client made decisions about where to locate or expand its services in the market based on generic market research data and its own intuition. But, using Fibroblast s data visualization tools and heat maps, Fibroblast identified for the client exactly where the client had gaps in service, and how much OON spend the client lost because of each gap. Fibroblast recommended the precise locations where the client should offer new services or extend existing service to capture the most economic value from its expansion. Strategic Growth Opportunities Identified. Fibroblast s data mapping and visualization tools identified the OON providers that received the $27M in leaked referrals, including their specialties, referral volumes and percentages of the leaked spend, alignments with other networks, and geographic locations. With this information, the client engaged the OON providers in discussions about forming strategic partnerships, including joining the client s ACO and other value-based care contracts, and potential acquisition or merger of their practices. The client s goal here was to reduce some competition, while adding to the client s bottom line, and gaining more control over the quality of care that the client s ACO patients were receiving. Fibroblast is a referral management platform that drives in-network referrals and eliminates network leakage. Our solutions include provider network referral analytics, referral decision support, and referral workflow management, which can be deployed fully integrated with any major EMR system or as a stand alone web application. For more information or a demo of our platform, contact info@fibroblast.com 5
Tableau and Cerner's HealtheIntent Advancing health and care
Welcome # T C 1 8 Tableau and Cerner's HealtheIntent Advancing health and care Peter Smart Senior Director & Solution Executive, Analytics Cerner Corporation Agenda About Cerner Cerner and Tableau Population
More informationNetwork Development. Creating a strategic advantage through integration and alignment across the healthcare ecosystem
Network Development Creating a strategic advantage through integration and alignment across the healthcare ecosystem Michael Strilesky, Principal // Michael Lutkus, Sr. Manager 2 PINNACLE SPEAKER PROFILE
More informationAre Your Physicians Aligned?
WHITE PAPER Are Your Physicians Aligned? An Assessment Tool for Healthcare Leaders Authors: Mark J. Werner, MD and Cynthia Bailey Success in today s uncertain healthcare environment requires engaging physicians
More informationMedicare Advantage risk adjustment: How deep is the well?
Medicare Advantage risk adjustment: How deep is the well? With increasing regulation and focus on quality, comprehensive risk and quality programs are more important than ever. Whether you re engaging
More informationManaging Financial Health of your health system using Data
Managing Financial Health of your health system using Data With Innovaccer s Healthcare Data Platform Case Study A leading health system in Florida was able to reduce the time required for researching
More informationA Seven-Step Approach to a Clinically Integrated Network. April 28, 2016 Track B ACOs, Population Health, Affiliation and Other Issues
A Seven-Step Approach to a Clinically Integrated Network April 28, 2016 Track B ACOs, Population Health, Affiliation and Other Issues Presenters Gayle L. Capozzalo, FACHE Executive Vice President/Chief
More informationHEALTHCARE CONSULTING GROUP
MAZARS USA LLP HEALTHCARE CONSULTING GROUP As one of the nation s leading professional service firms, Mazars USA provides the resources, experience and global expertise to help you adapt in a dynamically
More informationGet the Most from Your Physician Referral Data
Get the Most from Your Physician Referral Data Gelb, An Endeavor Management Company 2700 Post Oak Blvd. Suite 1400 Houston, Texas 77056 P + 281.759.3600 F + 281.759.3607 www.gelbconsulting.com Overview
More informationR1 to Acquire Intermedix and Selected as RCM Services Provider for Ascension Physician Business
R1 to Acquire Intermedix and Selected as RCM Services Provider for Ascension Physician Business Investor Presentation February 26, 2018 Forward-Looking Statements and Non-GAAP Financial Measures This presentation
More informationPopulation Health Solutions
Population Health Solutions Actionable data at the point of care. Lightbeam Health Solutions Lightbeam s mission is to provide solutions that help improve quality of care and therefore quality of life.
More informationThe Art of Putting It Together STANDARDIZE PROCESSES BEFORE CONSOLIDATING REVENUE CYCLE OPERATIONS
STANDARDIZE PROCESSES BEFORE CONSOLIDATING REVENUE CYCLE OPERATIONS STANDARDIZE PROCESSES BEFORE CONSOLIDATING REVENUE CYCLE OPERATIONS By Robert Parris, managing director, and Melanie Schoenvogel, senior
More informationSuccessful healthcare analytics begin with the right data blueprint
IBM Software Information Management Healthcare Successful healthcare analytics begin with the right data blueprint 2 Successful healthcare analytics begin with the right data blueprint Executive summary
More informationAccenture Profit Recovery and Analytics
Business Process Outsourcing Accenture Profit Recovery and Analytics Delivering High Performance through Profit Recovery Accenture: Delivering high performance through profit recovery Are you leaving money
More informationOptum. One. Award-winning intelligent health analytics platform
One Award-winning intelligent health analytics platform The One intelligent health platform enables health care providers to manage patient populations in a valuebased world. The platform combines the
More informationNational HFMA Update
National HFMA Update Joseph J. Fifer, FHFMA, CPA President and CEO, HFMA 2015 Annual Spring Conference Arkansas Chapter April 16 2015 Agenda Leading the Financial Management of Health Care Delivering Value
More informationFunding New Healthcare Opportunities
Funding New Healthcare Opportunities Presenters: Whitney Courser Senior Vice President, Sales and Marketing, NueHealth Roger Herritz Senior Vice President, National Healthcare Practice Lead, JLL Jonathan
More informationHEALTHCARE CONSULTING GROUP
MAZARS USA LLP HEALTHCARE CONSULTING GROUP As one of the nation s leading professional service firms, Mazars USA provides the resources, experience and global expertise to help you adapt in a dynamically
More informationLeveraging Crimson to Support Network Utilization Strategy
Crimson Population Risk Management Leveraging Crimson to Support Network Utilization Strategy January 25, 2016 2 Managing Your Screen To minimize the control panel To minimize the presentation area Minimizes
More informationInnovation to Improve Service. Dr. Vindell Washington Chief Medical Officer
Innovation to Improve Service Dr. Vindell Washington Chief Medical Officer Delivery System Reform: Better, Smarter, Healthier Pay Providers Deliver Care Distribute Information Optimal Member Engagement
More informationOptum Intelligent EDI. Achieve higher first-pass payment rates and help your organization get paid quickly and accurately.
Optum Intelligent EDI Achieve higher first-pass payment rates and help your organization get paid quickly and accurately. The new benchmark for EDI performance Health care has outgrown commoditized EDI,
More informationTaking the Lead in Revenue Cycle Transformation
Taking the Lead in Revenue Cycle Transformation Kamron Lachney Vice President of RCM Operations, McKesson Change Healthcare August 29, 2017 Today s Speaker Kamron Lachney, MBA Vice President, Hospital
More informationOptum One. The Intelligent Health Platform
Optum One The Intelligent Health Platform The Optum One intelligent health platform enables healthcare providers to manage patient populations. The platform combines the industry s most advanced integrated
More informationCOMMUNITY CARE OF BROOKLYN IPA: SUSTAINING HEALTHCARE TRANSFORMATION EFFORTS
COMMUNITY CARE OF BROOKLYN IPA: SUSTAINING HEALTHCARE TRANSFORMATION EFFORTS Tina Hansen Pickett Senior Director, Sustainability and Strategic Initiatives Department of Population Health Maimonides Medical
More informationReal-Life Strategies for Account Managers to Help Grow Market Share
1 CMR Institute 2017. All Rights Reserved. Real-Life Strategies for Account Managers to Help Grow Market Share As an account manager, understanding your customers challenges including their performance
More informationOverview and Progress Update: Medicare Performance Initiative (MPI)
Overview and Progress Update: Medicare Performance Initiative (MPI) Britt Reynolds, President Hospital Operations Scott Richardson, Senior Vice President Operations Finance and Performance Management &
More informationHealthcare Data Management for Providers
White Paper Healthcare Data Management for Providers Expanding Insight, Increasing Efficiency, Improving Care This document contains Confidential, Proprietary and Trade Secret Information ( Confidential
More informationOptum Performance Analytics
Optum Performance Analytics A unified health care data and analytics platform Photo to come Optum Performance Analytics Position your organization for success with Optum Performance Analytics Dynamic health
More informationImproving Your Revenue Cycle Health: Why Continual Check-ups Are More Crucial than Ever
Optimizing the business of healthcare Improving Your Revenue Cycle Health: If change is constant and it seems to be the case in healthcare, then the one consistency would be the ongoing need for financial
More informationTHE ROLE OF REVENUE INTEGRITY IN REDUCING REVENUE LOSS, PAYMENT DENIAL RISK
HEALTHCARE THE ROLE OF REVENUE INTEGRITY IN REDUCING REVENUE LOSS, PAYMENT DENIAL RISK SPEAKERS ANDREW HANCOCK Managing Director +1.312.583.3795 andrew.hancock@navigant.com Announcer: Welcome to Navigant
More informationFrost & Sullivan independent analysis indicates that the market is slowly being eroded by several factors listed below.
Customer Service Leadership Award Early Intervention and Wellness North America, 2013 Frost & Sullivan s Global Research Platform Frost & Sullivan is in its 50th year in business with a global research
More informationMDM offers healthcare organizations an agile, affordable solution To deliver high quality patient care and better outcomes
MDM offers healthcare organizations an agile, affordable solution To deliver high quality patient care and better outcomes Many healthcare organizations are struggling with rising costs and inconsistent
More informationGenpact Intelligent Operations SM
PROVIDE VISIBILITY Genpact Intelligent Operations SM Making enterprises more competitive, with operations that sense, act and learn from the outcome of actions, at scale Foreword Intelligent Operations
More informationGet Exactly What You Want from Your Next Contract
Payment Integrity Compass Get Exactly What You Want from Your Next Contract Your Payer Negotiations Toolkit In this toolkit, you will learn: Best practice internal communication strategies How to organize
More informationMACRA Session 3: Alternative Payment Model Planning Key Elements. June 13, 2016/ 12:00-1:00 PM EST
MACRA Session 3: Alternative Payment Model Planning Key Elements June 13, 2016/ 12:00-1:00 PM EST How to Participate Today 2 Today s Presenters Craig Tolbert Principal, DHG Healthcare Works in the DHG
More informationGet exactly what you want from your next contract
Get exactly what you want from your next contract Set yourself up for successful payer negotiations Executive summary Time to raise the bar on internal and payer communication It s no secret that the health
More informationCASE STUDY 17. Mercy ACO
CASE STUDY 17 Mercy ACO Overview As healthcare space expands and moves to value-based care, new challenges related to data, quality, cost and outpatient care keep coming up. ACOs today span across multiple
More informationSTREAMLINE YOUR WORKFLOW TO INCREASE EFFICIENCY
W H I T E P A P E R STREAMLINE YOUR WORKFLOW TO INCREASE EFFICIENCY Copyright 2017, PartsSource. All Rights Reserved. The 5 Step Solution Streamlining the Overall Procurement Process Streamline Your Workflow
More informationComprehensive Revenue Integrity Support Program
Comprehensive Revenue Integrity Support Program The need to improve the bottom line while reducing organizational costs has never been greater for healthcare organizations. New reimbursement models, the
More informationGE Healthcare. Centricity Solutions Financial Management for Hospitals and Health Systems
GE Healthcare Centricity Solutions Financial Management for Hospitals and Health Systems Our IT strategy over the next few years is to look at how to develop interoperability. I think that s really the
More information360 O Healthcare BI Solution
360 O Healthcare BI Solution BI solutions - HTC's complete healthcare management suite - that includes HMS, LIMS, Payer, Provider, Physician, and Insurance Management Data Analytics Gives a 360 O Healthcare
More informationHow to Thrive Just Not Survive IN A CHANGING HEALTHCARE ENVIRONMENT
How to Thrive Just Not Survive IN A CHANGING HEALTHCARE ENVIRONMENT How to Thrive Get Back to Basics The Old Fashioned Practice Assessment No such thing as the perfect medical practice Strategic Planning
More informationGE Healthcare. Centricity Solutions Financial Management for Large Practices
GE Healthcare Centricity Solutions Financial Management for Large Practices Our organization has saved not only time and resources with the automated workflows and low-touch billing aspects of Centricity
More informationImproving Denial Management Using Machine Intelligence WHITE PAPER
Improving Denial Management Using Machine Intelligence Rethink Manual, Costly Denial Management Workflows Rejected or denied claims represent hundreds of billions of dollars in lost revenue for healthcare
More informationDriving Efficiency and Improving Bottom Line using Compelling Visual Analytics at Stamford Health
Welcome # T C 1 8 Driving Efficiency and Improving Bottom Line using Compelling Visual Analytics at Stamford Health Divya Malhotra, MD, MHA, MBA Executive Director, Analytics and Innovation Luis C. Rodríguez,
More informationPay-for-performance has emerged as a leading strategy
SALES & MARKETING INSIGHTS Medical Device Strategies for Competing in a Pay for Performance Future Pete Masloski Pay-for-performance has emerged as a leading strategy for improving quality and reducing
More informationDenials Intelligence. Charge Accuracy
Denials Intelligence Charge Accuracy Charge Review Pricing Analytics Gain confidence in your hospital revenue cycle. Denials Intelligence Hospitals struggle to maximize revenue cycle performance and minimize
More information2018 Health Care Compensation Survey U.S.
Participation is open In 2017: Over 300 participants, representing more than 1,100 unit locations 515 positions reported 1,147,739 incumbents a 6% increase from the prior year 2018 Health Care Compensation
More informationENHANCE Health Network A brief overview. Michael S. Hein, President & CEO, ENHANCE Michael T. Hansen, CEO, Columbus Community Hospital
ENHANCE Health Network A brief overview Michael S. Hein, President & CEO, ENHANCE Michael T. Hansen, CEO, Columbus Community Hospital 1 M&A Strategy Physician-hospital consolidation has not led to either
More informationWebinar Series Physician Relations. Referral Development. Advancing the Physician Relations Program Structure
Webinar Series 2017 Physician Relations Referral Development Advancing the Physician Relations Program Structure Webinar Series 2017 Physician Relations Today s Agenda You will Learn: What are the right
More informationFROM OPERATIONAL CHAOS TO HIGH-PERFORMING
THE RIGHT PATH FOR YOUR PHYSICIAN NETWORK FROM OPERATIONAL CHAOS TO HIGH-PERFORMING Copyright Copyright 2017 2017 HSG HSG 1 INTRODUCTION Between 2012 and 2015, the number of physicians employed by hospitals
More informationOptum Performance Analytics
Optum Performance Analytics A unified health care data and analytics platform Photo to come Dynamic health care market forces, fueled by delivery and payment reform, have posed many new and difficult questions
More informationGrupo Fleury: history, market and strategic positioning, future. Mr. Carlos Marinelli Chief Executive Officer
Grupo Fleury: history, market and strategic positioning, future Mr. Carlos Marinelli Chief Executive Officer Grupo Fleury in numbers: purpose 90 years and reference healthcare company in Brazil 145 PSCs
More informationTransforming Healthcare Communications
Transforming Healthcare Communications An Expense Reduction Strategy and New Business Model Healthcare Communication Services Business Brief For healthcare payers, outbound constituent communications (checks,
More information2013 Southwind Institute
2013 Southwind Institute Anthony M. D Eredita Executive Vice President Southwind, A Division of The Advisory Board 2 The M&A Wave is On-going: Hospital and Physician Scale thought to be an answer but may
More informationArticle from: Health Watch. May 2013 Issue 72
Article from: Health Watch May 2013 Issue 72 Value Based and Accountable Care The Actuarial and Clinical Role in Building a Sustainable Model By Mark Bethke, Cindy Hamilton, Amanda Holland and James Whisler
More informationChange Healthcare Performance Analytics. Identify Opportunities for Financial, Clinical, and Operational Improvement
Change Healthcare Performance Analytics Identify Opportunities for Financial, Clinical, and Operational Improvement Inspiring a Better Healthcare System For years, healthcare organizations have focused
More informationCertification in Healthcare Revenue Integrity (CHRI) Exam Outline
Certification in Healthcare Revenue Integrity (CHRI) Exam Outline I. EDUCATION 30 items (16 recall/10 application/4 analysis) a. Rules and Regulations 1. Provide expert advice in coding guidelines and
More informationOptimization: The Next Frontier
Optimization: The Next Frontier A White Paper Impact Advisors LLC January 2015 400 E. Diehl Road Suite 190 Naperville IL 60563 1 800 680 7570 Impact Advisors.com Table of Contents Introduction... 3 Optimization
More informationWhere Are We and Where Do We Need to Go? Understanding, sharing and, ultimately, improving performance measures is always the focus for Swedish.
CUSTOMER SUCCESS STORY : Sharing Improves Caring (and Helps the Bottom Line, Too) FOUNDED: 1910 HEADQUARTERS: SEATTLE, WA $10M+ IN IMPROVED OPERATIONAL PROCESSES $750K SAVINGS IN PERSONNEL COSTS AVOIDED
More informationFUEL GROWTH IN IMAGING How to Commercialize your Imaging Service Line to Fuel Growth in a Consolidating US Healthcare Market
FUEL GROWTH IN IMAGING How to Commercialize your Imaging Service Line to Fuel Growth in a Consolidating US Healthcare Market FROST & SULLIVAN BRIEF by Nadim Michel Daher, Industry Principal, Medical Imaging
More informationGE Healthcare. Financial Management Solutions
GE Healthcare Financial Management Solutions A transformational moment in healthcare The transition from volume-driven to value-driven healthcare is transforming how patient care is delivered and paid
More informationHEALTHGRADES FOR HOSPITALS
GROW ENGAGE IMPROVE HEALTHGRADES FOR HOSPITALS GROW ENGAGE IMPROVE ABOUT HEALTHGRADES FOR HOSPITALS Healthgrades for Hospitals is the leading provider of business intelligence and communication solutions
More informationData-Driven Physician Relationship Management A Case Study: Penn Medicine. Suzanne H. Sawyer Chief Marketing Officer
Data-Driven Physician Relationship Management A Case Study: Penn Medicine Suzanne H. Sawyer Chief Marketing Officer March 2, 2015 About Penn Medicine Nation s First Medical School & Hospital $5B Revenue
More informationManaging Denials: Covering all the Bases
www.pwc.com Managing Denials: Covering all the Bases HFMA 2017 Texas State Conference March 26 th, 2017 Presenting Today Jon Souder Director, Revenue Performance Management Jon is a Director in s Health
More informationBEATING THE FINANCIAL SQUEEZE: How to Drive Performance Transformation in Your Health System
BEATING THE FINANCIAL SQUEEZE: How to Drive Performance Transformation in Your Health System Authors: Rob Gamble and Pamela Damsky For decades, health systems have recognized the strategic imperative of
More informationAnalytics. HealthView. Cardiovascular Data Intelligence.
HealthView Analytics Cardiovascular Data Intelligence www.lumedx.com info@lumedx.com Meaningful Data for Clinical and Operational Success Cardiovascular service lines are under tremendous pressure to perform
More informationShifting to Fee for Value: The Information Mandate
Shifting to Fee for Value: The Information Mandate Randy L. Thomas, FHIMSS Service Line Executive Bryan Eckert Strategic Advisor CSOHIMSS 2013 Spring Conference May 17, 2013 CSOHIMSS 2013 Slide 0 May 17
More informationTake the pulse of your Practice
Take the pulse of your Practice How healthy is your business and what can you do to survive the economic downturn? Presented by: Rochelle Glassman Partner and CEO, Phoenix Physician Services Welcome Welcome
More informationINVESTOR PRESENTATION. November 2012
INVESTOR PRESENTATION November 2012 today s agenda 2 Latest Announcements Merge to Connect to Surescripts Clinical Network Merge Named to EMC Select Program Merge Unveils New Mobile & Internet Platform
More informationHow Information Transformation Drives Healthcare Performance
perspective How Information Transformation Drives Healthcare Performance Abstract Healthcare delivery in the US is experiencing tectonic change and has rapidly moved towards a Consumer-centric, market-driven
More informationThe Path to Clinical Enterprise Maturity DEVELOPING A CLINICALLY INTEGRATED NETWORK
The Path to Clinical Enterprise Maturity DEVELOPING A CLINICALLY INTEGRATED NETWORK dhgllp.com/healthcare Kevin Locke PRINCIPAL Kevin.Locke@dhgllp.com 330.606.4699 Michael Strilesky SENIOR MANAGER Michael.Strilesky@dhgllp.com
More informationtaking StepChange Consulting Driving Change to Deliver Results
taking the Make right a turn turns Wood Paper Packaging StepChange Consulting Driving Change to Deliver Results our SerViCe Portfolio from StrateGy development to operational improvement StakeHolder SerViCeS
More information2012 European Integrated Point-of-Care Diagnostic Platforms Technology Innovation Award
2012 2012 European Integrated Point-of-Care Diagnostic Platforms Technology Innovation Award 2012 Frost & Sullivan 1 We Accelerate Growth 2012 European Integrated Point-of-Care Diagnostic Platforms Technology
More information3M Health Information Systems A single source of truth
3M Health Information Systems A single source of truth Combining reliable data and performance management for a successful value-based healthcare system Reliable, standards-based data. The transition to
More informationQuality Measurement to Enhance Care
Quality Measurement to Enhance Care National Association of Medicaid Directors Fall Conference November 12, 2013 Rachel Nuzum, Vice President Federal & State Policy The Commonwealth Fund A Private Foundation
More informationHFMA Joint Spring Conference 2017 Trends and Innovative Approaches to Compensation Design
HFMA Joint Spring Conference 2017 Trends and Innovative Approaches to Compensation Design Thursday, May 18 Agenda I. Market Imperatives II. Best Practice III. Innovative Compensation Approaches 1 I. Market
More informationEnterprise Data An Untapped Asset for Succeeding as Healthcare Changes
Enterprise Data An Untapped Asset for Succeeding as Healthcare Changes 1 2014 Encore, A Quintiles Company. No unauthorized copying or distribution permitted. What We ll Cover It s all about the data Why
More informationSurviving the Retail Revolution in Health Care
SEGMENTING TARGETING UNDERSTANDING TRUST-BUILDING REPOSITIONING ALIGNING Surviving the Retail Revolution in Health Care Competencies of Winning Hospitals and Health Systems 2014 The Advisory Board Company
More informationHIMSS RCM Survey. Understanding Health Systems Revenue Cycle Management and Challenges
HIMSS RCM Survey Understanding Health Systems Revenue Cycle Management and Challenges As healthcare delivery continues to evolve, hospitals are struggling to make the most of their revenues. The shift
More informationTAKING A FRESH APPROACH
TAKING A FRESH APPROACH TO HEALTH INFORMATION CAN REVITALIZE YOUR REVENUE CYCLE How financial leaders use health information management to maintain a sustainable revenue cycle Presented by Optum360 PATIENT
More informationPhysician Marketing & Outreach Growing Referring Physician Lifetime Value
Growing Referring Physician Lifetime Value Gelb, An Endeavor Management Company 1011 Highway 6 South P + 281.759.3600 Suite 120 F + 281.759.3607 Houston, Texas 77077 www.gelbconsulting.com Overview Today
More informationEmpowering ACO Success with Integrated Analytics
APPLICATIONS A WHITE PAPER SERIES IN THE BACKDROP OF THE SEMINAL PATIENT PROTECTION AND AFFORDABLE CARE ACT, NEW MODELS OF CARE DELIVERY, SUCH AS THE ACCOUNTABLE CARE ORGANIZATIONS (ACOS) HAVE EMERGED
More informationUnderstanding BPCI A For Skilled Nursing Facilities
Understanding BPCI A For Skilled Nursing Facilities February 20, 2018 Deanna L. Stephenson Director, Managed Programs Learning Objectives Timeline for implementation How skilled nursing facilities will
More informationSmart leakage management through business-driven analytics with Capgemini and IBM. Gain even more insights from your data
Smart leakage management through business-driven analytics with Capgemini and IBM Gain even more insights from your data Water companies have already made great progress in reducing leakage, but innovation
More informationOptum Advisory Services Strategies to improve accuracy and completeness of risk adjustment
Payers and providers Optum Advisory Services Strategies to improve accuracy and completeness of risk adjustment IMPROVE CARE QUALITY MANAGE RISK REDUCE COST ADVANCE INFRASTRUCTURE GROW MARKET SHARE Growing
More informationBusiness Reasons for Change
Business Reasons for Change A Guide for Medical Billing Companies on the benefits of changing medical billing software platforms. Benefits of Changing Medical Billing Software Change can increase your
More informationCHKD Nets $22M in CFO-Validated Savings with a Blend of CBA s 100-Day Workouts and High Impact Margin Improvements
CHKD Nets $22M in CFO-Validated Savings with a Blend of CBA s 100-Day Workouts and High Impact Margin Improvements CHALLENGE With reimbursement rates the lowest in history, and a higher cost structure
More informationSteve Clark Senior Vice President
Steve Clark Senior Vice President 1 Collaborations Opportunity for life sciences companies Partner with Optum & United leadership to design and pilot high-impact programs Close key gaps in care to improve
More informationIntroduction to Provider Networks & Provider Applicant Process
Introduction to Provider Networks & Provider Applicant Process The University of Utah Health Plans (UUHP) contracts with physicians and other health care professionals and facilities to offer provider
More information2/12/2014. Physician Hospital Integration 1. Physician-Hospital Integration Compliance Considerations. Agenda
Physician-Hospital Integration Compliance Considerations Frank E. Sheeder III Chair, Health Care Enforcement and Compliance Practice DLA Piper LLP (US) 214-743-4560 frank.sheeder@dlapiper.com Agenda 1.
More informationBeyond Documentation
MARGIN MANAGEMENT Beyond Documentation Maximizing the Performance of Your Mid-Cycle Hollie Freeman Senior Director Ben Koppenheffer Associate Director 2 Significant Investments, But to What End? ICD-10
More information2012 North American Clinical Laboratory Competitive Strategy Leadership Award
2012 2012 North American Clinical Laboratory Competitive Strategy Leadership Award 2012 Frost & Sullivan 1 We Accelerate Growth Competitive Strategy Leadership Award Clinical Laboratory, North America,
More informationIntroduction to Provider Networks & Provider Applicant Process
Introduction to Provider Networks & Provider Applicant Process The University of Utah Health Plans (UUHP) contracts with physicians and other health care professionals and facilities to offer provider
More informationDRIVE DISPLAY PERFORMANCE WITH OUR INSIGHTS AND ATTRIBUTION PLATFORM
DRIVE DISPLAY PERFORMANCE WITH OUR INSIGHTS AND ATTRIBUTION PLATFORM Your sales and marketing mix has grown increasingly complex. Truly understanding what s driving transactions across your marketing channels
More informationRevenue Cycle Transformation During an Implementation
Revenue Cycle Transformation During an Implementation The 6 P s EMR conversions and upgrades can create operational and financial disruptions. 10.1% decline in operating cash flow 6.1% reduction in days
More informationEight User Secrets for Community Health Centers EIGHT E EIGHTEIG EIGHT. Why more community health centers choose NextGen solutions
Eight User Secrets for Community Health Centers EIGHTEIG EIGHT EIGHT E Why more community health centers choose NextGen solutions Pick ONE partner with an easy-touse solution and comprehensive 1services
More informationCreating a Strategy for Value Driven
Creating a Strategy for Value Driven Analytics Danyal Ibrahim, MD, MPH Chief Data and Analytics Officer Rob Beeman Executive Director of Decision Support Saint Francis Hospital and Medical Center Hartford,
More informationYOUR GUIDE TO MAKING A WELL-INFORMED DECISION
YOUR GUIDE TO MAKING A WELL-INFORMED DECISION Independence and Centralized Support 1 Your Own Revenue: 7 Other Support and Benefits: 2 Your practice s fee-for service revenue and expenses are yours and
More informationSolving the IT Investment Paradox
WHITE PAPER Solving the IT Investment Paradox Authors: Parrish Aharam and Greg McGovern Solving the IT Investment Paradox There is a constant debate between health system leadership about how much to invest
More informationDemonstrating and Creating Value with Analytics. John Hendricks & Betsy McVay
Demonstrating and Creating Value with Analytics John Hendricks & Betsy McVay 15th largest nonprofit health system 15 hospitals, 8 regions 88 Communities served by 280 physician clinics 14 community network
More information