GE Healthcare Camden Group Insights Blog

The Great Risk Shift: A Strategic Road Map for Providers

Posted by Matthew Smith on Apr 13, 2016 2:47:41 PM

By William Ringwood, Manager, GE Healthcare Camden Group

When assuming financial risk for healthcare delivery, a provider has many options to choose from and a broad range of internal and market-based factors to consider to be able to choose the right option for its specific circumstances.

An unprecedented shift of financial risk from payers to providers is occurring within the healthcare delivery system as a result of reform efforts. Healthcare providers have many important strategic decisions to make in preparation for this shift that will have a profound impact on their future success. Foremost among these decisions is choosing from the broad range of risk options available to providers, including quality incentive and penalty programs, Medicare accountable care organization (ACO) models with various degrees of risk and requirements, commercial shared savings, bundled payments, cobranding, and partial/full capitation or percentage of-premium models. It is clear that government and private payers, as well as employers and the general public, are pushing to improve overall healthcare value by increasing providers’ degree of risk.

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Risk, Providers

Topics: ACO, Medicare, Risk-Based Contracting, Healthcare Delivery, Risk, William Ringwood

Planning a New Hospital or Clinic? First, Design How it Cares

Posted by Matthew Smith on Mar 3, 2016 4:56:51 PM

What will the hospital of the future look like? How will it simplify care processes? How will it fit within the broader system of care? How will it further population health? How will you plan for changing care models and uncertain demand? What if the hospital of the future is designed for both patients and caregivers?

Design4Care leverages GE’s HoF Analytics Platform™ which has been used to optimize facility design from Brussels to Marshalltown to Toronto. Our HoF Analytics Platform™ solutions provides the expertise and proprietary simulation technology that enables you to realize a fundamentally more efficient system — physical capacities, workflows, staffing model, and patient experience — by design.

We help you visualize the interdependencies of your operations, staffing, and workflows to guide your team through its transformation. 

To better understand how physical design and operational model of care will impact patients and staff in your proposed facility, please watch the demo video, below or download our case studies. 

Design4Care, GE Healthcare, Hospital Operations

Topics: Healthcare Delivery, Design4Care, Facility Design, Hospital of the Future, Care Design, Hospital Operations

Meet the Practice: Care Design and Delivery

Posted by Matthew Smith on Feb 1, 2016 4:09:35 PM

Over the next two weeks, GE Healthcare Camden Group will share insights into our five newly aligned practice areas that consist of:

  • Care Design and Delivery
  • Population Health Management
  • Strategy and Leadership
  • Physician Services
  • Financial Advisory and Transactions

Care Design and Delivery

Practice Lead: Geoffrey Martin, Executive Vice President

Explain the needs and problems you solve for clients through this practice.

There is a new level of consumerism that is driving better access and a more efficient patient experience. This new paradigm of patient access calls for a health system to provide a remarkable experience for every consumer at any time and underscores a shift from patient satisfaction to patient engagement and loyalty.

But at the same time, capital and operational budgets are shrinking and facility expansion is a last resort.   Acute-care settings must re-think about where and how they deliver care. This calls for in-depth analysis surrounding an organization’s capacity strategy affecting both inpatient and outpatient populations.

Ultimately, our practice strives to work with healthcare systems to:

  • Improve clinical outcomes
  • Improve operational efficiencies
  • Increase patient volume across the system
  • Respond to opportunities from healthcare reform
  • Improve financial performance
  • Enhance consumer loyalty
  • Enhance staff and physician satisfaction

What types of organizations need your services?

We work with hospital systems and academic medical centers that are seeking support in:

  • Care access, design, and management
  • Capacity optimization and patient flow
  • Workforce management
  • Hospital-wide turnarounds
  • Facility design powered by GE’s Hospital of the Future capability
  • Analytics for hospital operations and clinical transformation
  • Command Centers for healthcare

What is the value or ROI that is provided by solving these challenges?

Our involvement with our clients yields a reduction in capital and labor costs, revenue enhancement (“good volume”), patient and staff satisfaction, and a targeted 4:1 ROI in Year 1. We work with our clients to design solutions that are specific to their needs and leverage capabilities across GE Healthcare Camden Group.

What synergies differentiate this practice area (and GE Healthcare Camden Group)?

We have a comprehensive team of people (encompassing strategy + operations + clinical + finance + analytics and technology) to better define desired outcomes and provide a more complete path forward, and we’re able to assist in all areas as needed. 

We pride ourselves on being technology agnostic—working with clients in a problem-back approach from strategy through implementation with an intense focus on sustained outcomes. Our ability to reach into the GE Store is a huge advantage and allows us to operate in a place where only GE can provide solutions.  

Case Study, Operating Room Capacity

Contact Care Design and Delivery Team

Topics: Healthcare Reform, Care Delivery, Healthcare Delivery, Care Design, Geoffrey Martin

Survive Today, Thrive Tomorrow: From Volume- to Value-Based Worlds

Posted by Matthew Smith on Jun 19, 2015 10:54:23 AM

Healthcare delivery in general, and physician reimbursement specifically, are undergoing unprecedented transformation. While most physician practices still operate largely in a fee-for-service ("FFS") world, government and commercial payers alike have signified their intent to reimburse physicians and other providers based on value.

Many physicians recognize that the FFS system is imperfect at best, but the evolving value-based reimbursement system is ill defined, leaving physicians facing a great deal of uncertainty. During this time of uncertainty, medical practices have opportunities to improve performance and position themselves for success in the rapidly changing healthcare market. It is natural to begin focusing on clinical measures and outcomes as a means for proving value, but it is just as important to remain financially viable during the transition. By understanding the structures of evolving reimbursement methodologies, changing health plan dynamics, and developing market trends, we can thrive in this uncertain world.

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Volume-Based Reimbursement, The Camden Group

Topics: Volume-Based Reimbursement, Fee-for-Service, Healthcare Delivery

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