The document discusses how the economic recession is negatively impacting hospitals through decreased admissions and procedures, while costs are rising. It recommends that hospitals improve management of revenue cycles, supply chains, and scheduling to cut costs. The federal stimulus package will provide funds to states that can help hospitals through higher Medicaid matching rates and grants for health IT. However, the full impact will depend on restrictions from Medicare/Medicaid on the use of funds.
Managed Care within Health Care covers a variety of information from nursing homes, policies, Medical, Medicare, out of pocket, and partial payment, management, contracts, government, and the Social Security State Fund. Within this working paper I will discuss a few of these mechanisms that are applied and utilized within ‘Managed Care’ today. A system within a system that brings in 25% of the United States debt.
Consumer-Centric Healthcare: 2015--The Tipping Point Has Arrived (Report by William Blair)
Consumers—in tandem with disruptive healthcare technology and healthcare services providers—are the key to solving many of US healthcare's woes, particularly the unsustainably high cost of care.
Public exchanges, private exchanges, and high-deductible health plans are growing quickly. Disruptive forces of competition will create a lower-cost system that promotes the growth of highly efficient, low-cost, and high-quality providers and technologies.
The continued movement of financial and quality risk back to providers (and increasingly to consumers themselves) is encouraging providers and consumers to seek preventive medicine, cost efficiency, clinical efficacy, and overall value in healthcare. In turn, this could drive significant change regarding the primary point of care delivery (rapidly moving outside the hospital), the overall cost of healthcare and investment decisions made by healthcare providers.
Consumer-centric healthcare providers will experience strong top- and bottom-line growth over the coming years. Investors in both the public and private-equity markets will achieve superior long-term returns by identifying and investing in these companies.
State of the US healthcare industry - a compilation of infographics 2014Dr. Susan Dorfman
2014 is the year of healthcare reform! The internet is full of amazing information showcasing the scope of the reform and its current successes and struggles - as well as the impact it will have on the varying healthcare stakeholders, from healthcare professionals to institutions, patients and pharmaceutical manufacturers
Managed Care within Health Care covers a variety of information from nursing homes, policies, Medical, Medicare, out of pocket, and partial payment, management, contracts, government, and the Social Security State Fund. Within this working paper I will discuss a few of these mechanisms that are applied and utilized within ‘Managed Care’ today. A system within a system that brings in 25% of the United States debt.
Consumer-Centric Healthcare: 2015--The Tipping Point Has Arrived (Report by William Blair)
Consumers—in tandem with disruptive healthcare technology and healthcare services providers—are the key to solving many of US healthcare's woes, particularly the unsustainably high cost of care.
Public exchanges, private exchanges, and high-deductible health plans are growing quickly. Disruptive forces of competition will create a lower-cost system that promotes the growth of highly efficient, low-cost, and high-quality providers and technologies.
The continued movement of financial and quality risk back to providers (and increasingly to consumers themselves) is encouraging providers and consumers to seek preventive medicine, cost efficiency, clinical efficacy, and overall value in healthcare. In turn, this could drive significant change regarding the primary point of care delivery (rapidly moving outside the hospital), the overall cost of healthcare and investment decisions made by healthcare providers.
Consumer-centric healthcare providers will experience strong top- and bottom-line growth over the coming years. Investors in both the public and private-equity markets will achieve superior long-term returns by identifying and investing in these companies.
State of the US healthcare industry - a compilation of infographics 2014Dr. Susan Dorfman
2014 is the year of healthcare reform! The internet is full of amazing information showcasing the scope of the reform and its current successes and struggles - as well as the impact it will have on the varying healthcare stakeholders, from healthcare professionals to institutions, patients and pharmaceutical manufacturers
Palestra de Rachel David no 3º Fórum Nacional da Saúde Suplementar, realizado pela Federação Nacional de Saúde Suplementar (FenaSaúde), no Sheraton WTC São Paulo Hotel, no dia 6 de outubro de 2017.
US Healthcare Reform and Impact On Pharma and Healthcare IT CompaniesDr. Susan Dorfman
US Healthcare Reform and Its Impact on Pharma and Healthcare Companies:
Implications Current and Future
Presented at the Edison Ventures Pharma and Healthcare Business Solutions Executive Meeting Lawrenceville, NJ
April 20, 2010
2021 Healthcare Trends: Embracing an Unpredictable FutureHealth Catalyst
We’re putting 2020 in the rearview mirror and gazing into the crystal ball to see what 2021 holds. Stephen Grossbart, PhD, and Dan Orenstein, JD, tackle the challenge of predicting what’s next for healthcare in 2021. Stephen and Dan discuss the trends and policies most impactful to the industry and attempt to answer the following questions on everyone’s mind.
- Healthcare technology—Where is it headed? What’s the next big thing?
- Care delivery—How will COVID-19 continue to impact healthcare systems, physicians, and patients? What changes will the industry make to prepare for future pandemics? What will happen with value-based care?
- The new Biden administration—What changes will it make that will impact healthcare? What will the Supreme Court/Congress do about the ACA?
Healthcare changes a compilation of infographics to tell a story of what's...Dr. Susan Dorfman
This started as an internal project I wanted to do for myself and my team, but later decided to share it. It represents the current and future state of healthcare, based on perspectives and infographics gathered from industry expert sources (each cited with a url to the original source of the image or chart) - with commentary in headers created by me to help put things into perspective. I also tried tried to provide a view of current and future states, including implications to varying stakeholders including patients, physicians and pharma
3º FÓRUM DA SAÚDE SUPLEMENTAR - CARMELLA BOCCHINOCNseg
Palestra de Carmella Bocchino no 3º Fórum Nacional da Saúde Suplementar, realizado pela Federação Nacional de Saúde Suplementar (FenaSaúde), no Sheraton WTC São Paulo Hotel, no dia 5 de outubro de 2017.
Communiqué features articles focusing on the latest hot topics for anesthesiologists, nurse anesthetists, pain management specialists and anesthesia practice administrators.
Communique is created by Anesthesia Business Consultants (ABC), the largest physician billing and practice management company specializing exclusively in the practice of anesthesia and pain management.
ABC serves several thousand anesthesiologists and CRNAs nationwide with anesthesia billing software solutions.
Please send your email address to info [at] anesthesiallc [dot] com if you would like to join the Communique mailing list!
Visit www.anesthesiallc.com for more information!
In the coming years the United States will find themselves going through a number of changes within the Social Security Administration which will affect the Health Care Industry as we know it “Hospital size has long been an area of discussion and debate in the U.S. healthcare industry. Questions have consistently focused on cost management or efficiency in large versus small hospitals. A persistent question among researchers is whether efficiencies are associated with larger facilities through economies of scale, or if there are alternate scenarios that play a significant part in hospital cost and efficiency” (2009, JHM). Since the Affordable Health Care Act was established it made obtaining health care much more affordable and accessible, but at the same time there has to be some cut back.
Online Conference Takes “Deep Dive” into Affordable Care ActPYA, P.C.
PYA’s Martie Ross, Principal, joined three other panelists in a full-day, online conference sponsored by the American Institute of Certified Public Accountants to offer an in-depth look at healthcare reform under the Affordable Care Act (ACA).
Palestra de Rachel David no 3º Fórum Nacional da Saúde Suplementar, realizado pela Federação Nacional de Saúde Suplementar (FenaSaúde), no Sheraton WTC São Paulo Hotel, no dia 6 de outubro de 2017.
US Healthcare Reform and Impact On Pharma and Healthcare IT CompaniesDr. Susan Dorfman
US Healthcare Reform and Its Impact on Pharma and Healthcare Companies:
Implications Current and Future
Presented at the Edison Ventures Pharma and Healthcare Business Solutions Executive Meeting Lawrenceville, NJ
April 20, 2010
2021 Healthcare Trends: Embracing an Unpredictable FutureHealth Catalyst
We’re putting 2020 in the rearview mirror and gazing into the crystal ball to see what 2021 holds. Stephen Grossbart, PhD, and Dan Orenstein, JD, tackle the challenge of predicting what’s next for healthcare in 2021. Stephen and Dan discuss the trends and policies most impactful to the industry and attempt to answer the following questions on everyone’s mind.
- Healthcare technology—Where is it headed? What’s the next big thing?
- Care delivery—How will COVID-19 continue to impact healthcare systems, physicians, and patients? What changes will the industry make to prepare for future pandemics? What will happen with value-based care?
- The new Biden administration—What changes will it make that will impact healthcare? What will the Supreme Court/Congress do about the ACA?
Healthcare changes a compilation of infographics to tell a story of what's...Dr. Susan Dorfman
This started as an internal project I wanted to do for myself and my team, but later decided to share it. It represents the current and future state of healthcare, based on perspectives and infographics gathered from industry expert sources (each cited with a url to the original source of the image or chart) - with commentary in headers created by me to help put things into perspective. I also tried tried to provide a view of current and future states, including implications to varying stakeholders including patients, physicians and pharma
3º FÓRUM DA SAÚDE SUPLEMENTAR - CARMELLA BOCCHINOCNseg
Palestra de Carmella Bocchino no 3º Fórum Nacional da Saúde Suplementar, realizado pela Federação Nacional de Saúde Suplementar (FenaSaúde), no Sheraton WTC São Paulo Hotel, no dia 5 de outubro de 2017.
Communiqué features articles focusing on the latest hot topics for anesthesiologists, nurse anesthetists, pain management specialists and anesthesia practice administrators.
Communique is created by Anesthesia Business Consultants (ABC), the largest physician billing and practice management company specializing exclusively in the practice of anesthesia and pain management.
ABC serves several thousand anesthesiologists and CRNAs nationwide with anesthesia billing software solutions.
Please send your email address to info [at] anesthesiallc [dot] com if you would like to join the Communique mailing list!
Visit www.anesthesiallc.com for more information!
In the coming years the United States will find themselves going through a number of changes within the Social Security Administration which will affect the Health Care Industry as we know it “Hospital size has long been an area of discussion and debate in the U.S. healthcare industry. Questions have consistently focused on cost management or efficiency in large versus small hospitals. A persistent question among researchers is whether efficiencies are associated with larger facilities through economies of scale, or if there are alternate scenarios that play a significant part in hospital cost and efficiency” (2009, JHM). Since the Affordable Health Care Act was established it made obtaining health care much more affordable and accessible, but at the same time there has to be some cut back.
Online Conference Takes “Deep Dive” into Affordable Care ActPYA, P.C.
PYA’s Martie Ross, Principal, joined three other panelists in a full-day, online conference sponsored by the American Institute of Certified Public Accountants to offer an in-depth look at healthcare reform under the Affordable Care Act (ACA).
If WinRAR file is inaccessible or corrupt then you will not be able to access the files that are stored in WinRAR. However there is a solution to fix this issue, use WinRAR Repair Tool to ease the repair process
This presentation discusses the impact of health reform. It begins by defining the problem, then provides an overview of legislation and the impact on business. It provides a contrarian view of the subject and explains why health reform is really insurance reform. It also introduces the concept of consumer sovereignty,
Transparency has become even more important in the past year as we begin the health care reform discussion. There is not a signature event in Nashville to bring quality, marketing, transparency, and technology together. The Naked Hospital event will take the user experience from high level strategy through national and state legislative issues through practical hands on tools to walk away with. The event will focus on how and why health systems and hospitals should focus on quality reporting as well as financial reporting. At the end of the day, all of this puts additional strains on the information systems and resources deployed by most health systems and hospitals. How will they cope? What is the next step?
hCentive Health Insurance Exchange PlatformAlisha North
Take advantage of hCentive's deep expertise in the healthcare insurance industry. Browse through or download our white papers to get an in-depth understanding of the industry.
COVERAGE1 6 H & H N I A U G U S T . 1 0 w w w . h h n m a .docxvanesaburnand
COVERAGE
1 6 H & H N I A U G U S T . 1 0 w w w . h h n m a g . c a m
COVERAGE
Access
BY RANDY EDWARDS
Reform will boost health care coverage,
but the consequences won't be nearly
as cut and dried as you might expect
At first glance, national health care reform seems to be an unmitigated boon to hospitals: An additional 30 million
insured Americans over the next decade and expanded federal support for Medicaid could lead to a sharp reduction
in uncompensated care and bring billions more dollars through the door
A doser look reveals a landscape that is dramatically more complicated, however and hospital leaders need
to be quick and nimble to dear the hurdles and thrive under the new law.
"The bottom line is that reform most certainly is not a piece of cake for hospitals to prepare for, because there
is so much uncertainty," says Paul B. Ginsburg, president of the Center for Studying Health System Change, a
healtli policy researdi organization in Washington, D.C.
Although laws have been approved and rules are being written, health care reform remains a moving target:
Will tlie mandates really force Americans to carry insurance.' Will state budgets be sufBdent to cover the expanded
Medicaid caseload.'̂ Which of the payment and health delivery demonstrations will eventually be adopted.' WOl
communities really be able to expand their primary care capacity.'
Hospitals can't wait for every uncertainty to be resolved before they act, experts say, because the only certainty
is that more change is coming.
Will Expanded Access Lead to More Patients?
The impact of reform will vary from state to state, Cinsburg says. States with historically low rates of coverage,
like Texas, face greater changes than, say, states in the Upper Midwest. For some hospitals with large charity care
loads, there may be about the same number of patients, but far higher numbers of insured patients. In general,
most hospitals wü] see patient numbers increase.
However, hospitals should be autious about taking the ti-aditional response to an inaeasing census—added
V
COVERAGE
capacity—because the increased demand for
hospital space could be temporary.
"Hospitals must know today that at some
point in the future, there is going to be real
change in the delivery of care," Ginsburg
explains. "With better coordination of care,
whether it is medical homes or accountable care
"Many of the currentiy
uninsured are already
being cared for
through the existing
system, but often at
the wrong place at the
wrong time. The
question will be, can
we supply access for
the newly insured, so
they can be cared for
at the right place at
the right time?"
Rich Umbdenstock
President and CEO, AHA
organizations, there is a good chance that rates
of use of hospital care are going to decline.
While hospitals may experience a "tiansitory
crunch on their capacity" as millions of people
gain health care coverage, Ginsburg wams that
"ifs not going to be business as usual indefinit.
Mercer Capital's Value Focus: Healthcare Facilities | Mid-Year 2016 |Mercer Capital
Mercer Capital's Healthcare Facilities Industry newsletter provides perspective on valuation issues. Each newsletter also includes macroeconomic trends, industry trends, and guideline public company metrics.
1. Printer-friendly formatBy: STEVE BRAWNER
Home Our Publications Advertise Contact Us Archives Corporate Subscriptions Member Options
Best Practices, Stimulus Can Help Hospitals in Recession
It's a tough time for Arkansas hospitals, but according to one expert in medical finances,
they can improve their financial performance by incorporating sound business practices. The
federal stimulus package can help.
As any hospital CEO knows, the nation's economic recession is hitting health care providers
hard. According to a November 2008 report by the American Hospital Association, 38 percent
of American hospitals have seen a decrease in admissions, and 31 percent have seen fewer
elective procedures. Meanwhile, rising unemployment is leading to more uncompensated
care. Adding to the strain on hospitals, physicians are seeking more pay for on-call and other
services.
Like businesses and families across America, many hospitals are responding by tightening
their belts. According to a recent survey of hospital CEOs by the American Hospital
Association, nine out of 10 say their hospitals are finding it harder to access tax-exempt
bonds and attract charitable donations. Nearly half have put on hold capital projects that would have upgraded and
modernized facilities, added clinical technologies, or added information technology projects. Sixty-five percent of the projects
put on hold impacted inpatient medical and surgical care. Eighty-two percent of information technology projects that have
been put on hold would have automated clinical processes, while 68 percent would have improved care quality and patient
safety. Some hospitals have even stopped in-progress projects before completion.
According to David Marcinko, MD, certified medical planner and CEO of Medical Business Advisors, Inc.,
(www.medicalbusinessadvisors.com) some hospitals will struggle to make a profit even when the recession ends. Answering
questions by email, he said, "The 'golden-age' of medicine (1965-90) is gone forever; demographics and aging populations
run against the tide as are the expensive trends of technology, new treatment options and new drugs, etc. And, inner city
hospitals and (Medicare/Medicaid) providers are hurt more than the private entities; as always."
Still, Marcinko said hospitals can take several steps to weather the storm, including improving their management of revenue
cycles – an area where the health care sector follows far behind the more efficient retail and financial services industries. He
said hospitals should automate their financial processes so patients can be approved and cleared quickly. Insurance claims
should be submitted at least daily and ideally immediately after providing care, rather than monthly. He said hospitals also
should improve their length-of-stay forecasting to better utilize capacity.
Marcinko said there are other areas where hospitals can find savings. They can improve supply-chain management, including
adopting a just-in-time approach where possible. He advised better management of hospital access and scheduling to avoid
bottlenecks regarding critical resources. Better outpatient scheduling can reduce patient waiting times, nurse staffing and
overtime for physicians.
He said hospitals should look for creative new revenue sources, such as participating in drug trials or embracing alternative
medicine such as acupuncture in order to get a piece of the $20 billion being spent annually for those goods and services.
Moreover, he said that now is a good time for hospitals to consider upgrading their facilities. It may seem counterintuitive,
but upgrading is cheaper during a recession and can provide a greater return on investment than trying to increase demand
for services.
The federal government's economic stimulus package should help, although specifically how is yet uncertain. Meanwhile, a
statewide tobacco tax, passed by the Legislature and signed into law by Governor Mike Beebe this year, will add $86 million
annually in state funds for health programs, plus about the same amount in federal matching funds. (See accompanying
story.)
The state is receiving about $2.1 billion from the federal package – a sizable enough chunk that Governor Mike Beebe has
convened the relevant agency heads into a Governor's Recovery Cabinet that will meet on an as-needed basis.
Many of those dollars will come in the form of a higher federal Medicaid match rate. Currently about 73 percent, those rates
will rise to about 80 percent for a nine-quarter period beginning October 2008. According to Julie Munsell, spokesperson for
the Arkansas Department of Human Services, Arkansas Hospital Association senior vice president, one analysis has shown
that this provision alone will result in $700 million extra dollars for the state.
States also will receive $19 billion in grants and loans related to health information technology, an area on which Marcinko
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