It’s been getting frantic out there lately for sellers in the healthcare industry. In our market research, we’re increasingly hearing a common message: Payers and TPAs are not closing enough deals with employers fast enough. Providers and Integrated Delivery Systems are not closing enough deals with payers or direct to employers fast enough to sustain
Lately, we’re not always popular with our hospital clients. We increasingly seem to be the bearers of uncomfortable but important news. The business model of the traditional hospital-centric healthcare delivery system is under attack. The rapid growth of value-based reimbursement revenue models is converging with three dimensions of “devolution” in the healthcare industry to threaten
Population Health Management or PHM is now described as the solution to many of the challenges facing the healthcare industry. Payers and providers are generally somewhere between deciding if and how it applies to them and full blown implementation. Industry vendors are designing or retrofitting their solutions and services to make it all “work”. As
Healthcare industry payers are now moving aggressively toward value based care and reimbursement models with their provider networks. Payers of all types – employers, commercial insurers, government or individuals – can’t indefinitely sustain cost trends higher than overall economic growth. Healthcare services are simply becoming too expensive for consumers, employers, and taxpayers. Further, at some
The healthcare industry transition to value based care & reimbursement (VBC/R) is disrupting traditional business and care models. Both payers and providers are challenged to re-imagine and re-engineer their business and revenue models, organizational structures, clinical and administrative operations, and supporting clinical and information technology infrastructures. The critical starting point for most VBC/R transition planning