Ambulatory Care Planning: A Quantitative Approach

by Craig Holm, Director
and Scott Stuecher, Manager

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Ambulatory care has grown dramatically in recent years, and all signs point to continued growth. In 2017 (the most recent year for which data is available), net outpatient service revenue equaled 95% of net inpatient revenue, an increase from 83% in 2013.[1] Clearly every hospital and health system must have an effective ambulatory care strategy. […]

Launching a Community Oncology Center: 5 Key Considerations

by Meredith Inniger, Manager

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Rapid evolution in diagnostics and treatment for cancer care, innovation through genomics and predictive analytics, the continuing shift toward value-based care are hastening the migration of oncology from hospital settings to community-based centers.  This raises the question: Is now the right time to invest in a community oncology center? The experiences of multiple health systems […]

Four Keys to Ensuring High Quality Care by Your Post-Acute Care Strategic Partners

by Mark J. Dubow, Director

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It is increasingly important for hospitals and health systems to be proactive in enhancing and ensuring the quality of care in those post-acute care (PAC) facilities to which they refer patients. This influence is critical to preventing prolonged recovery periods with their associated increase in the cost of care. Hospitals also want to assure that […]

One Size Does Not Fit All: Your Ambulatory Services Must Be Tailored to the Value Equation of Each Consumer Segment

by Mark J. Dubow, Director
and Ross Shuster, Senior Associate

If your ambulatory network is the only provider in town, and it is providing high-quality services at reasonable rates that meet the community’s needs, those characteristics will likely position your organization for success. But what happens when your organization is surrounded by competitors (including some of the new entrants) fighting for market share? How do […]

Physician Engagement in Employed Physician Enterprises: Going Deeper

by Rudd Kierstead, Principal

You want to reduce physician subsidies in your employed physician enterprise, and you have numerous initiatives to increase physician engagement under way. What matters, however, is not the number of physician engagement efforts, but how thoroughly they engage physicians in operations at the ground level. Veralon recently surveyed leadership at 30 physician enterprises with 11,000 […]

Micro-Hospitals: Short-Term Fad or Promising Market Growth Strategy?

by Meredith Inniger, Manager

Many conversations we have with hospital and health system executives about market growth strategies eventually turns to the topic of micro-hospitals — and for good reason. These facilities typically include a small-scale emergency department (ED), low-acuity surgery, and are often comprised of eight to 10 inpatient beds as well as additional observation beds (notably, these […]

ACO Pathways to Success: Final Rule Softens Impact

by Amanda Brown and John Harris

CMS published its final rule, the “Pathways to Success” for the Medicare Shared Savings Program, in December 2018. CMS’ overall goal is clear and unchanged from the proposed rule: to put the “accountability” back in accountable care by moving ACOs more quickly to downside risk. While the final rule tracks the proposed rule issued in […]

To Merge or Not to Merge: Informing the Conversation

by Scott Stuecher and Daniel Grauman

“Everyone in the industry is merging. We should be too.” “We’ve always been independent, and we should stay that way.” Independent hospitals continue to merge or affiliate with other hospitals or with health systems. However, independent hospitals still have company. In 2016, the latest year for which information is available, there were about 1,600 independent […]

Using “Relative Burden” to Determine Reasonable ED Call Coverage Compensation

by Stuart J. Schaff, Senior Manager

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Many hospitals are finding themselves in discussions with physician specialists regarding compensation for emergency department (ED) call coverage. An increasing number of physicians are paid for this coverage, and information on these payments is becoming more widely available to physicians in the form of published surveys and conversations with fellow physicians. While healthcare finance leaders […]