Tackling the IT Challenge in Your CIN

by Molly Johnson, Manager & Alexandra D'Innocenzo, Associate

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Clinically Integrated Networks (CINs) need quality data to understand their patient population and manage provider practice patterns. That makes information technology (“IT”) critical at any stage of CIN development. For CINs with a mix of employed and independent physicians, IT is likely to be a tale of two cities – the employed physicians have solid, […]

Physician Engagement for the Established CIN

by Molly Johnson, Manager & Danielle Bangs, Senior Associate

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Physician engagement is critical to CIN success. True engagement, however, takes vigilance and a long-term commitment; having physicians join your network is just the beginning of the process. Our experience has shown that, despite their best intentions, many CINs lose touch with their physician membership at some point along the road. Effectively engaging physicians in […]

CINs as a Physician Alignment Model

by Daniel M. Grauman, Managing Director & CEO and Stuart Schaff, Manager
HFM blog
July 2014

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Many hospitals and health systems have made significant investments in physician practice acquisitions and employment. Often, this has been a defensive strategy, pursued without an expectation of direct profits. Instead, their new employers anticipated that these physicians would “pay for themselves” through downstream inpatient and ancillary service revenues once employed. As healthcare reform has progressed, […]

What’s New in Clinical Integration?

by John Harris, Director
HFM blog
January 2014

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Today’s provider efforts to form clinically integrated networks (CINs) suggest clinical integration is gaining traction. Providers are starting to address the array of opportunities to improve care, lower cost, and receive the associated rewards. We have seen significant movement in five pillars of clinical integration. Payer Engagement Payers are focusing additional funds on value-based arrangements […]

Improving Care Delivery: Learning from New York State’s DSRIP Initiative

by John Harris, Director & Idette Elizondo, Manager
HFM Blog
January 2015

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  As a Zen master might say, “Change must come from within.” Everybody can point to fundamental problems with healthcare delivery, especially for low-income populations. But managed-care rewards and penalties and other efforts have not been enough to transform the delivery system. New York State is working to encourage “change from within” through its Delivery […]

Strategies for Partnering with Physician-Led Accountable Care Initiatives

by John M. Harris, Director & Idette Elizondo, Manager
HFM Blog
October 2014

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The number of physician-led ACOs is growing faster than the number of hospital-physician ACOs. Increasing numbers of physician groups are evaluating bundled payment arrangements. Payers are working directly with physicians on patient-centered medical homes (PCMHs). It appears that physician-led accountable care initiatives are here to stay. In some markets, physician-led networks may compete successfully by […]

Integration and/or Independence: Physician-Hospital Futures

by John Harris, Director & Karin Chernoff Kaplan, Director
HFM Blog
September 2013

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Of the 41,000 physicians in the 2013 MGMA Physician Compensation and Production Survey, 56 percent are employed by hospitals or health systems, compared with 42 percent in the 2010 survey. Conventional wisdom is that the remaining physicians will rapidly join the ranks of the employed. However, hospitals and physicians can explore many types of relationships […]