Emerging Business Models for Hospital and Physician Integration: Clinical Integration as a Business Strategy for Accelerated Growth
NAMCP Fall Managed Care Forum 2010 (Las Vegas, NV) L E A D E R S H I P P R O B L E M SO L V I N G V A L U E C R E A T I O N November 4, 2010 Emerging Business Models for Hospital and Physician Integration: Clinical Integration as a Business Strategy for Accelerated Growth Christopher J. Kalkhof, FACHE Director, Healthcare Industry Group Francis LaMorte, M.D. Director, Healthcare Industry Group (New York Office)Copyright 2010. Alvarez & Marsal. All Rights Reserved.
Presentation Agenda I. Overview of Evolving Federal and State Regulatory Landscape and Impact on Provider Revenues II. Emerging Provider Business/Financing Models: Options and Considerations III. Lessons Learned IV. Q&A and Program Close Copyright 2010. Alvarez & Marsal Holdings, LLC. All Rights Reserved. 1 (1)
Presentation Agenda I. Overview of Evolving Federal and State Regulatory Landscape and Impact on Provider Revenues Plan now for ACA impact Do not put yourself in the position of having to react in 2013 or 2014 Copyright 2010. Alvarez & Marsal Holdings, LLC. All Rights Reserved. 2
Presentation Agenda II. Emerging Provider Business and Financing Models: Options and Considerations Understand clinical integration models Understand your cost structure Know how to “clinically integrate” at the service line level Determine how emerging payment methodologies will evolve and impact your care delivery model Copyright 2010. Alvarez & Marsal Holdings, LLC. All Rights Reserved. 10
Presentation Agenda III. Lessons Learned Effective change in a restructured regulatory and reimbursement environment will not be sustainable… absent… physician leadership Copyright 2010. Alvarez & Marsal Holdings, LLC. All Rights Reserved. 38
The Alvarez &Marsal Advantage Founded in 1983, Alvarez & Marsal (“A&M”) is a leading independent global professional services firm with more than 1,700 professionals based in North America, Europe, Asia and Latin America. Currently 39 offices globally with headquarters in New York, London, and Hong Kong. Offer deep financial, tax, operational and industry expertise. Deep bench of talent across industries with the unique ability to transition between financial, operational and advisory roles to meet client’s changing business needs.A&M is the leading, independent global professional services firm which excels at leadership, problem solving and value creation. A&M’sHealthcare Industry Group practice represents an assembled team of healthcare professionals who bring a significant track record of workingwith management, boards of directors and stakeholders of both investor-owned and non-profit providers, payers and suppliers to improveoperational, financial and clinical performance.A&M’s managed care consultants and interim management professionals bring deep best practices expertise in the development of managedcare contracting and physician alignment strategies, payer contract negotiations, and the implementation / integration of contracting andphysician alignment strategies into an organization’s overall clinical and business operations.Our managed care services are aligned with your contract management cycle and can be tailored to meet your specific needs and marketenvironment. We work with your team, serving in advisory or interim management roles, to ensure your success with your overall payercontracting strategy. www.alvarezandmarsal.com Copyright 2010. Alvarez & Marsal Holdings, LLC. All Rights Reserved. 4545
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