1.800.360.0603

GE Healthcare Camden Group Insights Blog

Charting a Path to Health System Efficiencies Following a Merger

Posted by Matthew Smith on Jun 11, 2015 9:43:24 AM

A business plan of operational efficiencies can help a health system achieve large-scale gains in cost performance and organizational alignment following a merger or an acquisition.

By Brandon Klar, MHSA, Vice President, GE Healthcare Camden Group (via the June, 2015 issue of HFM Magazine)

Healthcare reform is driving an increase in health system mergers and acquisitions. Almost without exception, these moves are billed as an opportunity to reduce costs and leverage scale to improve care delivery. Unfortunately, many merged organizations fail to fully realize the operational health system efficiencies envisioned before the transaction. Once select management positions are integrated and group-purchasing contracts have been consolidated, integration efforts often slow considerably or grind to a halt entirely. This pattern is seen both with true mergers, where two organizations are combined to create a new entity, and with transactions in which an organization acquires and absorbs another organization.

This failure to achieve the full potential of a merger or an acquisition carries two risks. First, incomplete integration can actually increase system costs, particularly when the combined organization creates a new layer of corporate oversight on top of the two merged entities. Second, poor integration can create trouble with regulators. The Federal Trade Commission, state attorneys general, and other agencies often approve health system mergers based in part on promised operational efficiencies. When these efficiencies fail to materialize, regulatory bodies can take action.

Please click the button below to continue reading this article on the Healthcare Financial Management Association's ("HFMA") website:

BPOE, Business Plan of Operational Efficiencies, The Camden Group

Topics: HFMA, Mergers, BPOE, Mergers & Acquisitions, Health System Efficiencies, Hospital mergers and acquisitions, Brandon Klar

Health Directions Profiled at HFMA's ANI 2014 Conference

Posted by Matthew Smith on Jun 23, 2014 4:11:00 PM

HFMA, ANI, HFMA ANI, Health DirectionsHealth Directions was profiled by HFMA for their ANI pre-conference session, "Second Generation Physician Engagement Techniques." An excerpt of the profile reads:

During a preconference session Sunday at HFMA's ANI: The 2014 HFMA National Institute on Second-Generation Physician Engagement, Daniel J. Marino, President and CEO, and William K. Faber, MD, Chief Medical Officer of Health Directions, concluded that—similar to the findings of HFMA’s Value Project—creating an effective CIN requires several key activities.

  • Health systems need to engage and recruit physicians to the CIN.
  • Systems need to engage payers that will be attracted to the CIN once it has achieved sufficient size and scale as a partner organization that can improve quality.
  • A CIN needs to align incentives for the participating physicians to support activities that lead to improved care outcomes and reduced cost.
  • For the incentives to be effective, physicians need data to not only understand their current performance relative to their incentives but to identify opportunities for care improvement.  Marino and Faber said CINs can build off this infrastructure to negotiate contracts with purchasers of healthcare to support the transition to a value-based delivery system.

To read the full profile of the precon session, please click here.

Click for PDF Flyer of the Session:

http://cdn2.hubspot.net/hub/161605/file-1047595058-pdf/ANI_14_EngagingPhysicians.pdf 

Health Directions will present again at ANI on Wednesday, June 25th with the following session:

The Financial Blueprint of Accountable Care

Date, Time, Location:

Wednesday, June 25, 2014, 11:00 AM – 12:45 PM (Bellini 2006)

Overview:

This session draws from multiple experiences with accountable care and clinical integration as well as direct operational knowledge of building a Pioneer ACO.

After Attending This Session, Participants Will Be Able To:

  • Recognize barriers to building a financially successful clinically integrated network
  • Learn tips and techniques to help transition to value-based care
  • Understand how to align independent physicians with the hospital’s clinical integration objectives
  • Identify methods for building financial incentives

Tools & Takeaways:

Sample incentive model to engage physicians

Speakers:

  • Daniel J. Marino, President/CEO, Health Directions
  • Meredith Duncan, Director of Operations, Seton Health Alliance

Topics: Accountable Care, Clinical Integration, William K. Faber MD, Clinically Integrated Networks, ANI 2014, Meredith Duncan, HFMA, Daniel J. Marino

Health Directions Presenting Two Sessions at HFMA ANI '14

Posted by Matthew Smith on Jun 19, 2014 2:14:00 PM

ANI, HFMA, Health DirectionsThe Healthcare Financial Management Association (HFMA) kicks off their 2014 National Institute Meeting this Sunday in Las Vegas. Running through June 25, ANI 2014 brings together healthcare financial management executives and leaders in finance & accounting, revenue cycle management, and administration/ operations. 

This year's event focuses on eight, central themes:

  • Regulatory Impact on Reform/Rules
  • Clinical Integration/Culture
  • Organizing for Value
  • Revenue Cycle
  • Payment Trends
  • Financi & Operations
  • Cost Management/Margin Transformation

Health Directions is excited to once again be a part of ANI. We have two great sessions planned for ANI attendees. They are:

We invite all ANI attendees to visit the sessions and, if interested, schedule a time to meet with our speakers aside from the sessions. If you would like to schedule a time to meet with one of our speakers, please access a request form via the button, below.

ANI, HFMA, Health Directions, Dan Marino

 _________________________________________________________________

Second Generation Physician Engagement Techniques

Date, Time, Location:

Sunday, June 22, 2014, 8:00 AM – 12:00 PM, (Bellini 2102)

Overview: 

This presentation draws from multiple clinical integration /ACO programs and distills some unique and innovative approaches to engage physicians in achieving distinguished results in the areas of: clinical integration governance; patient engagement; superior clinical results; increased efficiencies; and sustained competitive advantage for the provider organizations.

After Attending This Session, Participants Will Be Able To:

  • Understand and utilize effective approaches to engage physicians
  • Understand how to align the incentives of community physicians within a clinically integrated network
  • Integrate new approaches to build organized systems of care using data

Tools & Takeaways:

Sample incentive model to engage physicians

Speakers:

  • Daniel J. Marino, President/CEO, Health Directions
  • William K. Faber, MD, MHCM, Chief Medical Officer, Health Directions

Click for PDF Flyer:

http://cdn2.hubspot.net/hub/161605/file-1047595058-pdf/ANI_14_EngagingPhysicians.pdf

 _________________________________________________________________

The Financial Blueprint of Accountable Care

Date, Time, Location:

Wednesday, June 25, 2014, 11:00 AM – 12:45 PM (Bellini 2006)

Overview:

This session draws from multiple experiences with accountable care and clinical integration as well as direct operational knowledge of building a Pioneer ACO.

After Attending This Session, Participants Will Be Able To:

  • Recognize barriers to building a financially successful clinically integrated network
  • Learn tips and techniques to help transition to value-based care
  • Understand how to align independent physicians with the hospital’s clinical integration objectives
  • Identify methods for building financial incentives

Tools & Takeaways:

Sample incentive model to engage physicians

Speakers:

  • Daniel J. Marino, President/CEO, Health Directions
  • Meredith Duncan, Director of Operations, Seton Health Alliance

Click for PDF Flyer:

Accountable Care, HFMA, ANI, Health Directions

Topics: Accountable Care, Clinical Integration, William K. Faber MD, ANI 2014, Meredith Duncan, HFMA, Daniel J. Marino

Discount Available for HFMA's Chicago Seminar Featuring Health Directions

Posted by Matthew Smith on Nov 27, 2013 9:56:00 AM

Health Directions, Speaking, Clinical IntegrationHealth Directions is excited to present two sessions at this year's Healthcare Financial Management Association's (HFMA) Chicago Seminars. Attendees may choose between 1, 2, and 3-day options for the Seminar held December 10-12 at Chicago's Swissôtel Chicago (323 E. Wacker Drive, Chicago, IL 60601).

Health Directions clients and blog readers/subscribers are entitled to a 20% registration discount. If you are interested in attending the Fall Session in Chicago and would like to obtain the discount code, please email Matt Smith at msmith@healthdirections.com. Discounted registrations may only be made via phone with HFMA. 

These popular sessions provide timely strategies and metrics to help you keep pace with the changes reshaping American health care, while enhancing your professional development. Seminars are offered in three categories:

  • Revenue Cycle, Reimbursement, Compliance

  • Business Intelligence & Performance Improvement

  • Clinical Alignment & Delivering Accountable Care  

All seminars take place from 8:00 a.m. to 3:15 p.m. each day. Fees include a workbook for each seminar you attend, a continental breakfast, lunch, and break refreshments.

Health Directions' seminars are listed below.

Building the Infrastructure to Deliver Accountable Care and Clinical Integration

Learn about effective governance, payer contracting strategies, physician engagement, e-health strategies (including EHR and HIE components), clinical quality measures—such as value-based purchasing—and how to develop a program infrastructure and team to succeed in your organization and market.

Health Directions Speakers: Daniel J. Marino, President/CEO

Organization: Healthcare Financial Management Association

Dates: December 12, 2013; Chicago, Illinois

_______________________________________________________________

Maximizing Financial Performance of Employed Physicians

With physician employment as a strong trend, it’s key to understand how to address distinct challenges to onboarding and maximizing performance of employed physicians as they transition from independence to employed medical groups. This seminar provides a comprehensive checklist of key requirements, essential processes, and opportunities for successfully onboarding and maximizing the performance of employed physicians.

Health Directions Speakers: Lucy Zielinski, Vice President; Sabrina Burnett, Vice President

Organization: Healthcare Financial Management Association

Date: December 10, 2013; Chicago, Illinois

_______________________________________________________________

Discounted Rates:

The following rates reflect the 20% discount for Health Directions clients and blog subscribers:

1-Day Registration: ($592 members/$700 nonmembers)

2-Day Registration ($947 members/$1162 nonmembers)

3-Day registration ($1294 members/$1632 non-members)

 

Questions? Please please email Matt Smith at msmith@healthdirections.com.


Topics: Accountable Care, Clinical Integration, Employed Physicians, HFMA, Daniel J. Marino, Healthcare Financial Management Association

Live from Memphis: Clinical Integration, ACO, & Physician Employment

Posted by Matthew Smith on Apr 30, 2013 10:42:00 AM

Clinical Integration, ACO, MemphisHealth Directions is proud to present three sessions at the Healthcare Financial Management Association's (HFMA) Spring Seminar, May 7-9, 2013, in Memphis, Tennessee.

Senior executives from Health Directions will share their insights on Clinical Integration, ACO Strategy, and Employed Physician Strategy.

Learn practical strategies, metrics, and action items to improve performance. HFMA's Seminars are offered in two tracks: Healthcare Finance Foundationsand Creating Value.

Healthcare Finance Foundations: Master the essentials. Geared to those new to the healthcare finance field or those who need an overview of major industry topics.

Creating Value: Deliver higher quality at lower cost by learning to promote collaboration and accountability, transform data into business intelligence, improve care delivery and cost effectiveness, and manage risk.

All seminars take place from 8:00 a.m. to 3:15 p.m. each day. Fees include a workbook for each seminar you attend, a continental breakfast, lunch, and break refreshments. 

______________________________________________________________

Building the Financial Infrastructure to Deliver Value-Driven Accountable Care

Memphis, TN - May 7

SUMMARY

This seminar identifies the drivers of change in health care and dynamics that support delivering coordinated and efficient care through a formal accountable care organization (ACO) or outside that structure. This seminar provides strategies for constructing a team to support healthcare reform, e-health strategies (including EHR and HIE components), key performance indicators, clinical quality measures, and physician and staff performance, along with improving your managed care contracts.

AFTER THIS SEMINAR, YOU'LL BE ABLE TO:

  • Identify the changing dynamics of health care that drive organizational commitment and clinical integration designed to deliver coordinated and efficient care.
  • Examine health information technology drivers requiring financial investment and describe how efficient deployment of an EHR can minimize reductions in cash flow.
  • Create an action plan that identifies stakeholders and their challenges, evaluates skills and technology gaps, and builds an ACO work plan.

PREREQUISITES

Basic concepts related to managed care contracting, financial management, and physician practice

TOOLS AND TAKEAWAYS

Sample medical practice metric reports that can be adapted to track and manage accountable care initiatives within an organization

FACULTY

Daniel J. MarinoPresident/CEO, Health Directions LLC

Continuing education: 7 CPE credits

Level: Intermediate

Seminar PDF

Register

______________________________________________________________

Transitioning Physicians from Independent to Employed: Maximizing Financial Performance

Memphis, TN - May 8

SUMMARY

With physician employment as a strong trend, there are distinct challenges to address as physicians transition from independence to employed medical groups. This seminar provides a comprehensive overview of the key requirements, processes, and opportunities for successfully onboarding and maximizing the performance of employed physicians.

AFTER THIS SEMINAR, YOU'LL BE ABLE TO:

  • Identify the basic framework and key drivers that maximize the financial performance of employed physicians.
  • Track the financial performance of an employed physician practice using key metrics and dashboard reports.
  • Create physician onboarding tools that communicate financial policies, create opportunities for revenue improvement, and introduce the organizational culture to motivate quality care.

PREREQUISITES

Understanding of general concepts related to physician employment

TOOLS AND TAKEAWAYS

  • Physician scorecard/dashboard
  • Sample onboarding checklist

FACULTY

Lucy Zielinski, Vice President, Health Directions LLC

Cara Campos, Managing Associate, Health Directions, LLC

Continuing education: 7 CPE credits

Level: Intermediate

Seminar PDF

Register

______________________________________________________________

Launching a Clinical Integration Program

Memphis, TN - May 8

SUMMARY

This seminar provides practical guidance for healthcare provider organizations to launch clinical integration, accountable care, and other innovative forms of care delivery and payment models. Areas covered include governance, payer contracting strategies, engaging with physicians, and developing program infrastructure. Attendees will learn how to apply lessons from the nation's largest clinical integration and accountable care programs.

PREREQUISITES

Knowledge of basic concepts related to physician/clinical integration, accountable care, managed care contracting, and/or physician practice management. Recommended: HFMA seminar "Building the Financial Infrastructure to Deliver Value-Driven Accountable Care"

AT THE END OF THIS SEMINAR, YOU'LL BE ABLE TO:

  • Identify the compelling strategic reasons to pursue clinical integration, accountable care, and other value-based forms of contracting and care delivery models.
  • Establish effective governance structures, identify benchmarks, and share best practices with other provider organizations.
  • Create strategies for recruiting physicians to participate.

TOOLS AND TAKEAWAYS

Essentials of contracting for clinical integration; tools for creating a "starter set" of measures; list of how and when to select supporting information technologies

FACULTY

Marty Manning, Executive Vice President, Health Directions LLC

Continuing Education: 7 CPE credits

Level: Intermediate

Seminar PDF

Register

Clinical Integration, Strategy Development

Topics: Accountable Care, ACO, Clinical Integration, Population Health, Employed Physicians, HFMA, Memphis

Healthcare Consulting Firm Health Directions Heads to HFMA ANI 2012

Posted by Matthew Smith on Jun 22, 2012 12:00:00 PM

ANI resized 600Health Directions is eagerly awaiting the start of HFMA's ANI 2012 this Sunday in Las Vegas. A national healthcare consulting firm, Health Directions looks forward to its largest presence to-date at ANI. President & CEO Daniel J. Marino leads three sessions at this year's ANI, including:

Sunday, June 24—Preconference Workshop: Lessons Learned: Best Practices for Designing Accountable Care Financial Systems (8:00am-11:30AM). 

After this session, attendees will be able to:

  • Establish clinical and financial measures for organizational accountability

  • Plan clinically integrated programs that reduce costs and improve outcomes for specific populations

  • Combine clinical outcomes measures with claims data to track the cost of care

  • Negotiate accountable care contracts using a risk-based, value purchasing or performance-based model

Tuesday, June 26—HFMA Case Study Stage in the Exhibit Hall: MAP Keys for Physician Practice Management: Tools to Drive Practice Performance (1:30PM-2:00PM) 

Wednesday, June 27—Breakout Session: Summit Medical Group: Advanced Strategies for Troubleshooting the Employed Physician Revenue Cycle (3:15PM-4:30PM)

After this session, you will be able to:

  • Describe the framework and key drivers of the physician practice revenue cycle

  • Track the financial performance of an employed physician practice using key metrics

  • Use data analysis to identify performance problems and design process solutions

  • Negotiate accountable care reimbursement opportunities with payers

Health Directions will be exhibiting at this year's ANI in the Exhibit Hall at Booth #1742. Please stop by for a chance to win a $100 American Express gift card and a $50 Amazon.com gift certificate.

Are you unable to make it to ANI 2012 next week? Would you like a preview of Dan's presentations? Don't miss out on the Health Directions presentations. Click the button to access Dan's powerpoint presentations for ANI 2012.

Topics: Accountable Care, Employed Physicians, healthcare consulting firm, HFMA, ANI 2012, Revenue Cycle

Subscribe to Email Updates

Value Model, Health Analytics

Posts by Topic

Follow Me