Accountable Care Organizations (ACOs) have been sprouting up across the country in one form or another. Although ACOs have been highly touted for their ability to coordinate and improve the quality of patient care, the opportunity for providers to realize shared savings has been the key motivator for the adoption of the ACO model. Decreasing .. read more
Many hospitals and health systems have been able to increase their alignment with a cross-section of their medical staff by engaging them in what could be generically described as a hospital-sponsored accountable care / pay-for-performance program; namely clinical co-management. Traditionally, clinical co-management is a model of physician-hospital alignment that provides a financial incentives to participating .. read more
There are many major changes and trends occurring in the external environment which have strategic implications for hospitals. One such area is with consumerism and consumer trends. For example, High Deductible Health Plans have been growing at the rate of approximately 17 percent in the past few years. Here are 3 other significant findings / .. read more
The approach to auditing commercial managed care reimbursement is straightforward, yet potentially overwhelming. Check out my manageable approach in the February 2013 issue of HFM where I outline the five steps hospitals should take to protect managed care revenue. Click here for the full article. -Megan Iemma
“5 Ways to Improve Managed Care Recovery” by Megan Iemma. Published in HFM Magazine, February 2013. Click here for the full article.