At the Helm

Insights for the C-suite

Stop fooling around re: population health

Zachary Hafner, MBA February 1, 2018

 Zachary Hafner, MBA

It's 2018 and I've got a resolution for you—it's time to get serious about population health. At first this may feel like we are retreading old ground. After all, we have talked about population health for years now. But while it's one thing to keep talking about managing populations, it's another thing entirely to redesign the model, put the pieces in place, and tackle the obstacles to deliver results.

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Marc Harrison promised to turn Intermountain into a 'Tesla.' He wasn't kidding.

by Eric Larsen, Managing Partner, January 29, 2018

Welcome to the "Lessons from the C-suite" series, featuring Managing Partner Eric Larsen's conversations with the most influential leaders in health care.

In this edition, Marc Harrison, president and CEO of Intermountain Healthcare, talks with Eric and Robert Musslewhite, Advisory Board Company's Chairman and CEO, about Intermountain's recently announced strategic reorganization, previews the launch of a "virtual hospital" to better serve rural communities, and shares the surprising worry that keeps him up at night. The conversation took place in December.

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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

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

Editor's note: This blog post was updated on May 17, 2018.

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

In 2017, hospital and health system profitability margins hit a low they haven’t seen in a decade. Cost growth continued to outpace revenue growth by a wide margin; the difference swelled from 0.7% in 2016 to 1.2% in 2017. What’s worse: we don’t expect these financial pressures to abate in the near future. 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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