The Growth Channel

The latest innovations in market strategy and share competition

Use this strategy to position your cancer program for value-based care success

By Allison Harvey August 27, 2015

Now that CMS has proposed a mandatory bundled payment for joint replacements, many hospital administrators are wondering what services will be targeted next.

Due to its high cost and complex pathways, oncology is another area on the brink of major payment model changes. For example, CMS’s Oncology Care Model, set to launch in 2016, will dramatically change incentives for cancer care management.

In response, cancer programs will need to adapt their care models quickly to maintain their market positions. Radiation therapy is one piece of cancer care that programs can target to generate greater efficiency with the same outcomes.  

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Will your market be shocked by private exchanges?

by Caitlin Stuhan August 20, 2015

Patients are changing the way they shop and pay for care, but employers are still the largest provider of health insurance. With the ACA requiring more rigorous standards for coverage, employers are looking for new ways to cut costs while keeping workers happy—and private health insurance exchanges are rapidly becoming the preferred solution, with 45% of employers considering using a private exchange by 2018.

So what is an exchange? What will it mean for your revenue? Should you be worried? If so, when? Our new, customizable report helps you understand what this market disruption looks like and how you can prepare to face its growing influence.

Here’s how it works.

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The new stroke certification that's poised to shake up your market

by Emily Brown August 13, 2015

Following the introduction of Comprehensive Stroke Centers in 2012, the Joint Commission has shifted their focus to more foundational service offerings and is now accepting applications for hospitals seeking certification as an Acute Stroke Ready Hospital (ASRH). Geared toward basic stroke programs, ASRH certification has the potential to affect hospitals and stroke networks of all sizes.

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How to develop digital tools patients will actually use

by Caitlin Stuhan August 6, 2015

Surveys show that patients are more eager than ever to get health care online: 64% of patients say they would be willing to see a doctor via video, and 57% are interested in using web-based tools to fill prescriptions, track their own health, and access health information.

However, those same surveys show that only 4-8% of patients are actually using these tools.

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Check your strategic vision and focus on ophthalmology

By Tali Warburg July 29, 2015

In the game of ambulatory strategy, have you zeroed in on ophthalmology? Keep your eyes open and evaluate this high-growth service line as a component of your ambulatory strategy.

According to The Advisory Board Company's outpatient market projections, ophthalmology is the fourth fastest growing service line, with national outpatient volumes projected to grow 22% by 2019. More specifically, glaucoma procedures are projected to experience the fifth fastest growth of any subservice line—64% by 2019.

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Four lessons to help you prepare for mandatory bundled payment

By Sebastian Beckmann July 28, 2015

Bundled payment models have long held promise as a mechanism for achieving savings for joint replacements—but until now, participation in those models has been voluntary. Last week, we told you about the newly-proposed Comprehensive Care for Joint Replacement (CCJR) program, which would make bundled payment for joint replacements mandatory for hospitals in 75 regions. Although the program is still a proposal, hospitals across the country should begin assessing their ability to improve the value of joint replacements and effectively coordinate care with other providers.

To help you prepare, this week we’re bringing you four lessons learned by the hospitals, health systems, and physician groups participating in Model 2 of CMS' Bundled Payments for Care Improvement (BPCI). Because the CCJR program is similar to BPCI’s Model 2, the experiences and strategies used by BPCI participants can help guide your preparations.

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Pediatric systems are seeking new partners. Who makes the cut?

Alan Lassiter MD, MBA July 23, 2015

The other day, I ran across a job posting that epitomized how much the strategic landscape in pediatric acute care has changed. According to the LinkedIn post, a certain top-tier pediatric system in the Northeast is looking for an executive to design and execute “innovative partnership models.”

Why was this job description so telling? Because children’s hospitals around the country are realizing that to succeed in the consumer-driven, value-based health care market, they will need partners—and maybe not the same partners that they’ve had in the past.

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6 takeaways from CMS's proposed mandatory joint replacement bundle

By Sebastian Beckmann July 20, 2015

Late last week, CMS proposed the Comprehensive Care for Joint Replacement Model (CCJR), a new bundled payment model for lower extremity joint replacement. CCJR resembles Model 2 of Bundled Payments for Care Improvement (BPCI), CMS' pilot program for bundled payment. But unlike BPCI, any hospital in 75 Metropolitan Statistical Areas (MSA's) would be required to participate. While the proposed five-year CCJR program would not apply to providers outside those regions, its geographic scope and mandatory participation constitute a tremendous statement from CMS, which has pledged to shift 50% of Medicare payments to value-based models by 2018. Overall, CCJR foreshadows a broader move to integrated care for hospitals everywhere. 

CMS' choice of joint replacement to introduce mandatory bundled payments is not surprising. Joint replacements are expensive, high-volume procedures with significant cost variation between hospitals and strong expected growth. Lower extremity joint replacement was also the most popular procedure chosen under BPCI, with a number of participants able to improve cost performance while maintaining quality outcomes.

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