Like it or not, the Center for Medicare and Medicaid Services (CMS) has turned from Fee- for -Service (FFS) to Pay-for –Performance (PFP) or a Value Based Purchasing (VBP) model. The question is not whether or not providers, hospitals and systems are ready to let go of those margins, but rather what can they do to mitigate risk today and protect the Revenue Cycle of tomorrow?
EBN Feb 2016 The ABCs of Employee BenefitsDaniel Michels
Employee Benefit News' article "The ABCs of employee benefits" by Ed Bray, JD, published in the February 2016 edition of EBN. Source: http://www.benefitnews.com/
Like it or not, the Center for Medicare and Medicaid Services (CMS) has turned from Fee- for -Service (FFS) to Pay-for –Performance (PFP) or a Value Based Purchasing (VBP) model. The question is not whether or not providers, hospitals and systems are ready to let go of those margins, but rather what can they do to mitigate risk today and protect the Revenue Cycle of tomorrow?
EBN Feb 2016 The ABCs of Employee BenefitsDaniel Michels
Employee Benefit News' article "The ABCs of employee benefits" by Ed Bray, JD, published in the February 2016 edition of EBN. Source: http://www.benefitnews.com/
The world’s largest economy has had to weather one of the worst recessions in the recent times. Not too long ago U.S. GDP hit the rock-bottom (at -8.9 in the middle of 2009). While it has slowly been coming out of the depths, the growth is not enough to bring down unemployment rate, which is hovering around 7.9% as of October.
Directors of Finance: A case study into the challenges of securing diverse ex...Marghaid Howie
Veredus has recruited eight NHS Directors of Finance (DoFs) in the past eight months for both acute and mental health providers. A key question candidates raise is what experience level and candidate background is the Trust seeking? Does the Trust seek an NHS man or woman through and
through or are they really open to other public or private sector backgrounds? This is a fundamental question and we within the Health Practice at Veredus were curious to understand how broad the backgrounds are of existing Directors of Finance in the NHS.
Presentation Uncovers Trends in the Unpredictable Healthcare IndustryPYA, P.C.
With the healthcare industry in a state of flux, not much is known about what lies ahead; but trends across the industry have become apparent and are likely to stick. These trends were the subject of a presentation given by PYA Principal David McMillan at the PKF North America Healthcare Fly-In.
Dr. Samuel Dyer will be moderating the 2nd Annual Medical Affairs Leaders Forum Asia in Hong Kong on August 5th-6th, 2014.
Dr. Samuel Dyer will also be speaking at the event and will represent the Medical Science Liaison Society.
PYA Presentation: “Thorny Issues in FMV and Commercial Reasonableness"PYA, P.C.
PYA Principals Jim Lloyd and Lyle Oelrich presented "Thorny Issues in Fair Market Value and Commercial Reasonableness" at the Greater Kansas City Society of Healthcare Attorneys, Wednesday, April 16, 2014.
Presentation Covers Physician Practice CompliancePYA, P.C.
PYA Consulting Manager Valerie Rock presented “Compliance in the Physician Practice.” She discussed the importance of having a compliance plan, coding and billing monitoring, audit schedules, and provider expectations.
Insights from 2017 Industry Leaders: Patient Assistance and Access ProgramsMelissa Paige
To be recognized this year as an Industry Leader with many other great well known individuals is such an honor. Thank you #CBI!
-Tracy Foster-President Lash Group
-Art Wood-Senior VP, Patient Services, Inc
-Bill Goodson-Director, Market Access and Reimbursement Services, Eisai,Inc.
-Frank Barrett-Executive Director, Patient Support Services, Churchill Pharmaceuticals LLC
-Nicole Hebbert-VP, Patient Access & Engagement, UBC
-Tom Doyle-Executive VP, Commercial Services, Triplefin
-Catherine Blansfield-VP, Access and Outcomes Services, NORD
-Kristina Broadbelt-Director, Global Patient Advocacy, Horizon Pharma
The world’s largest economy has had to weather one of the worst recessions in the recent times. Not too long ago U.S. GDP hit the rock-bottom (at -8.9 in the middle of 2009). While it has slowly been coming out of the depths, the growth is not enough to bring down unemployment rate, which is hovering around 7.9% as of October.
Directors of Finance: A case study into the challenges of securing diverse ex...Marghaid Howie
Veredus has recruited eight NHS Directors of Finance (DoFs) in the past eight months for both acute and mental health providers. A key question candidates raise is what experience level and candidate background is the Trust seeking? Does the Trust seek an NHS man or woman through and
through or are they really open to other public or private sector backgrounds? This is a fundamental question and we within the Health Practice at Veredus were curious to understand how broad the backgrounds are of existing Directors of Finance in the NHS.
Presentation Uncovers Trends in the Unpredictable Healthcare IndustryPYA, P.C.
With the healthcare industry in a state of flux, not much is known about what lies ahead; but trends across the industry have become apparent and are likely to stick. These trends were the subject of a presentation given by PYA Principal David McMillan at the PKF North America Healthcare Fly-In.
Dr. Samuel Dyer will be moderating the 2nd Annual Medical Affairs Leaders Forum Asia in Hong Kong on August 5th-6th, 2014.
Dr. Samuel Dyer will also be speaking at the event and will represent the Medical Science Liaison Society.
PYA Presentation: “Thorny Issues in FMV and Commercial Reasonableness"PYA, P.C.
PYA Principals Jim Lloyd and Lyle Oelrich presented "Thorny Issues in Fair Market Value and Commercial Reasonableness" at the Greater Kansas City Society of Healthcare Attorneys, Wednesday, April 16, 2014.
Presentation Covers Physician Practice CompliancePYA, P.C.
PYA Consulting Manager Valerie Rock presented “Compliance in the Physician Practice.” She discussed the importance of having a compliance plan, coding and billing monitoring, audit schedules, and provider expectations.
Insights from 2017 Industry Leaders: Patient Assistance and Access ProgramsMelissa Paige
To be recognized this year as an Industry Leader with many other great well known individuals is such an honor. Thank you #CBI!
-Tracy Foster-President Lash Group
-Art Wood-Senior VP, Patient Services, Inc
-Bill Goodson-Director, Market Access and Reimbursement Services, Eisai,Inc.
-Frank Barrett-Executive Director, Patient Support Services, Churchill Pharmaceuticals LLC
-Nicole Hebbert-VP, Patient Access & Engagement, UBC
-Tom Doyle-Executive VP, Commercial Services, Triplefin
-Catherine Blansfield-VP, Access and Outcomes Services, NORD
-Kristina Broadbelt-Director, Global Patient Advocacy, Horizon Pharma
The below stated are the Challenges and business requirements faced .pdfapleather
The below stated are the Challenges and business requirements faced by the hospital
Population health
Population health was one of the biggest ideas in healthcare this past year, and it will likely
maintain or gain momentum in the next few years to come. But despite the frequent use of the
term in the healthcare bubble, population health is a multidisciplinary concept to be shared
between public health agencies, social institutions and policymakers.
Hospitals fit in there somewhere. Defining that role is one of the ongoing challenges they will
face in 2015.
Hospitals\' demand for population health expertise overwhelms the supply. Nearly 60 percent of
health system and hospital CEOs ranked population health as the hardest skill set to find within
the broader healthcare field, according to a 2014 American Hospital Association survey. Further,
nearly half of executives polled identified community and population health management as a
talent gap within their organizations. Some health systems are filling this gap by creating new C-
suite positions: 10 percent of executives indicated their health system had a chief population
health manager.
Quantifying population health is another challenge. Although healthcare leaders need to think
creatively about how to improve the health of a geographic population, they should also maintain
a healthy sense of skepticism about population health efforts. What might seem like a much-
needed intervention on paper, such as a grocery store in a food desert, may be one small piece of
a multipronged solution. There are no silver bullets, after all. Amid excitement for population
health, systems may oversimplify problems and overinvest in solutions only to see the same
health outcomes.
To find success, hospital leaders may need to diminish their traditional reliance on \"programs\"
and instead focus more on partnerships with community organizations and nonprofits. Some
health systems still act as autonomously as they can, ignoring a wealth of expertise and
resources.
\"When we talk to other population health managers, they have unearthed a number of unique
challenges inside their populations, such as domestic violence, elder abuse and other public
health crises,\" says Jason Dinger, PhD, CEO of MissionPoint Health Partners in Nashville, the
accountable care organization affiliated with Saint Thomas Health. \"Unfortunately, most
respond by trying to implement their own unique program to respond to the issue. We usually
encourage them to first speak with the experts in their community who work on these issues
every day. In many cases these are nonprofit organizations that can add great value to the
population health effort but often have trouble engaging and integrating with a health system\'s
efforts.\"
Shifting from volume- to value-based reimbursement
The move from volume- to value-based reimbursement is inevitable. For now, it\'s a matter of
how quickly providers should make it.
Move too fast, and hospitals risk los.
Modern Physician-Hospital Affiliations in an Era of Increased Fraud and Abuse...PYA, P.C.
PYA Senior Manager Chris Beckham co-presented “Modern Physician-Hospital Affiliations in an Era of Increased Fraud and Abuse Scrutiny” with Ross Burris of Polsinelli at the American Health Lawyer Association’s (AHLA) Physicians and Hospitals Law Institute, February 8-10, 2016.
CFO Strategies for Balancing Fee-for-Service and ValuePhytel
Moving from fee-for-service to value-based care is not easy. However, leading health systems are all following a similar blueprint that enables the move to value-based care.
Download this whitepaper to learn how:
- Bon Secours Richmond - Closed 75,801 gaps in care within 12 months, generating $7 million in revenue for chronic & preventive care, while improving quality.
- Northeast Georgia Medical Center - Decreased HbA1C levels across uncontrolled diabetes by an average of 1.6 points within 120 days.
- Riverside Medical Center - Reduced unnecessary readmissions by 40% by using automation to reach and assess patients post discharge.
- Prevea Health - Increased care management productivity by 150% by automatically identifying high risk patients, and automating patient engagement.
Attracting and retaining talent is the most critical issue facing the U.S. hospital sector, according to an Economist Intelligence Unit (EIU) survey of more than 300 industry executives conducted for this research program. It is also a widespread problem: 74% of respondents believe their own organisation needs to pay more attention to attracting and retaining the best talent. Only 3% disagree.
To learn more about the research programme, visit http://hospitalresilience.eiu.com/.
A Healthcare Worker Shortage Action Plan Short-Term Wins and Long-Term StrategyHealth Catalyst
U.S. health systems will have a projected deficit of 200,000-450,000 RNs by 2025. Meanwhile, hospital labor costs have reached almost 50% of an organization’s overall expenses. Now more than ever, leaders need a data-driven labor management strategy that ensures the most cost-effective, high-quality care.
From rising costs to an aging population, today’s hospital leaders have no shortage of concerns. However, they are all connected to a single issue—the need to acquire
talent. This emerges from a new Economist Intelligence Unit (EIU) survey—sponsored by Prudential—of more than 300 executives from hospitals of different sizes, locations and structures.
The survey reveals that talent is becoming a more pressing issue. In 2015, when the EIU conducted the first survey of the sector, attracting the best talent was less of a concern than other challenges. Now it is the second-leading issue for the
industry, according to survey respondents.
Part of the problem is that, in a cost-constrained environment, it will not be easy for hospitals simply to increase pay packages to secure top talent. And this challenge is being compounded by an industry-wide shortage of nurses, doctors and other clinical staff.
For many, it is a game of catch-up. “For every vacancy filled, two or more positions come open and need to be filled,” says Julie Hill, Recruitment Coordinator for Tidelands Health and President of the National Association for Health Care
Recruitment.
To compete for talent in this environment, hospitals are finding creative solutions. While remuneration must remain competitive, hospitals are using other weapons in their battle to win recruits, from developing candidates internally to using social
media as a recruitment tool.
How to Manage Population Health Effectively in Accountable Care OrganizationsPhytel
The Affordable Care Act authorized a Medicare shared-savings program for accountable care organizations, and private payers are also contracting with ACOs. To succeed, ACOs must learn how to manage population health effectively.
1. Recruitment Process Outsourcing (RPO):
Helping Healthcare Organizations Stay
Focused on Patient Care
Healthcare organizations struggling to meet critical staffing needs
are now using a method that other industries have relied on for
years: recruitment process outsourcing, or RPO.
RPO is an integrated talent model approach in which an external
service provider partners with an organization’s recruiting and
human resources department to hire candidates quickly and
efficiently while lowering costs and ensuring a good culture fit.
“The number one pain point with healthcare organizations today
is the supply and demand imbalance,” said Dan White, President,
Strategic Workforce Solutions, AMN Healthcare. These organizations
are staffing up, because they’re providing care for more patients,
due to the Affordable Care Act (ACA) and aging Baby Boomers,
or they’re offering additional services or clinical specialties.
At the same time, he said, healthcare organizations are experiencing
turnover based on increased competition, clinician shortages, and
nursing retirement. In fact, 62% of RNs over 54 say they are thinking
about retirement and most say they plan to retire within three
years, according to the 2015 Survey of Registered Nurses by The
Center for the Advancement of Healthcare Professionals at
AMN Healthcare.
To learn more about AMN RPO, call (866) 437-5815 or visit AMNHealthcare.com/rpo
Recruitment Process Outsourcing (RPO)
FEATURE ARTICLE
“An RPO team can surge when you
need to surge and back off when you
need to back off. That not only hastens
the hiring process and proves more
efficient but also can make financial
sense. Finding quality candidates who
can provide quality care is also
a major factor.”
– Dan White, President, Strategic Workforce Solutions, AMN Healthcare
The explosion of RPO
For large healthcare organizations and small independent rural
hospitals, “the whole concept of augmenting and outsourcing the
recruiting process has become very attractive,” White said. “An
RPO team can surge when you need to surge and back off when
you need to back off. That not only hastens the hiring process and
proves more efficient but also can make financial sense. Finding
quality candidates who can provide quality care is also a
major factor.“