At the Helm

Insights for the C-suite

2017 year-in-review: 3 takeaways from our top blog posts

by Rob Lazerow January 18, 2018

What was most top-of-mind for the health care C-suite in 2017? Read on for three takeaways from At the Helm's top blog posts of last year. I also encourage you to join us at Health Care Advisory Board's 2017-2018 National Meeting to learn how health care leaders can prepare for the inevitable margin management challenge, design an effective Medicaid strategy, discover the latest clinical innovations, and more.

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CMS unveils new bundled payment model: Here's what you need to know

January 10, 2018

CMS on Tuesday unveiled a new voluntary bundled payment model, called Bundled Payments for Care Improvement Advanced (BPCI Advanced). Under the model, organizations can receive bundled payments for up to 32 different clinical episodes for which they will be held accountable for cost and quality. BPCI Advanced will count as an Advanced Alternative Payment Model (APM) under MACRA's Quality Payment Program. Applications open for the program on Jan. 11 and close on March 12.

The Daily Briefing's Josh Zeitlin spoke with several Advisory Board experts about what the new model will mean for providers. Join the experts for a webconference on Tuesday, Jan. 23, when they'll continue the conversation and surface more key takeaways.

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50 CEOs. 1 million words. What we've learned from health care's C-suite.

by Eric Larsen, Managing Partner, December 21, 2017

Eric Larsen

All CEOs have a public persona: the way they present themselves on corporate websites, in public speeches, and on earnings calls. But what are they really like?

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The Aetna-CVS partnership: What it means for health care

by Zachary Hafner, National Partner, Consulting and Sihyun Choi, Vice President, Consulting December 15, 2017

The news about CVS's proposed acquisition of Aetna hit the health care industry this past weekend like a bolt from the blue. But for many, as the initial shock wears off, what remains is a mix of confusion and uncertainty. What is the rationale? Where is the upside? What does it mean for health care as we know it today?

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Why health systems need to stop treating cost-cutting like that new dieting fad

Christopher Kerns , Emily Connelly December 14, 2017

Managing health care margins isn't new, but it's certainly getting more difficult.

In 2016, hospitals and health systems saw margins dip and operating expenses outgrow operating revenue by almost a full percentage point. While revenue growth decelerates, cost growth is exploding—up more than three percentage points since 2013. What's worse: All signs point toward continued expense growth and downward pressure on reimbursement. Hospital and health system leaders are facing an unavoidable margin management challenge.

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5 things we've learned from state-level care transformation efforts—so far

by Yulan Egan and Kathryn Martucci December 11, 2017

While federal payment reform efforts often dominate the headlines, states have also been key players in experimenting with new payment models. Lessons learned from states offer leaders—health system executives and policymakers alike—opportunities to better understand how to approach delivery and payment system reform moving forward.

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3 mandatory bundles canceled, a 4th scaled back. Here's what you need to know.

November 30, 2017

On Thursday morning, CMS issued a final rule that canceled three mandatory bundled payment programs, significantly rolled back a fourth, and canceled a cardiac rehabilitation incentive payment model.

Specifically, the final rule:

  • Rolled back the Comprehensive Care for Joint Replacement Model (CJR) bundled payment model, which has been in effect since April 2016, from 67 mandatory geographic regions to 34 mandatory regions;
  • Canceled the mandatory Surgical Hip and Femur Fracture Treatment (SHFFT) bundled payment model, which had been scheduled to begin in CJR's 67 regions on Jan. 1;
  • Canceled the mandatory Acute Myocardial Infarction (AMI) and Coronary Artery Bypass Graft (CABG) bundled payment models, also known as the Episode Payment Models (EPMs), which had been scheduled to begin in 98 metropolitan areas on Jan. 1; and
  • Canceled the Cardiac Rehabilitation (CR) Incentive Payment model, a program designed to incentivize providers in 90 U.S. regions to increase patient utilization of cardiac rehabilitation, which had been scheduled to begin on Jan. 1.

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6 experts on what the 2018 MACRA final rule means for you

November 15, 2017

Since CMS released its final rule to implement year two of MACRA's Quality Payment Program (QPP) last week, our experts have analyzed the 1,000+ pages. They plan to share key insights and action items their upcoming webconferences:

  • An expert panel discussion on the strategic implications of the 2018 MACRA Final Rule on Monday, November 20 at 3 p.m. ET. (Register now to secure your spot).
  • A detailed analysis of the 2018 MACRA Final Rule and operational action items on Tuesday, December 12 at 1 p.m. ET. (Register now to secure your spot).

Here's a sneak peek of their reactions to the rule:

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