Hospitals & IDNs

Who Receives Care at Assisted Living Facilities?

As the population of Americans over 65 grows, the healthcare industry must respond to increased demands for affordable, comprehensive long-term care. Assisted Living Facilities (ALFs) are playing a specialized role in the long-term care industry for older Americans seeking to live independently while also having access to limited daily assistance and…

Mental Health Mass Trauma
How to Address Mental Health after Mass Trauma

Firearm-related injuries account for more than $2.8 billion in direct emergency and inpatient care costs every year in the U.S. This does not include the indirect financial costs or emotional effects on patients and providers after incidents of mass trauma. Currently the U.S. is facing a potential shortage of physicians…

hospital outpatient procedures
Will the Rise of Outpatient Clinics Lead to Fragmented Care?

As medical technology advances, physicians are able to shift more procedures from outpatient to inpatient settings. However, hospital procedure prices can be prohibitive for patients, leading to a rise in the popularity of independent outpatient clinics and ambulatory surgery centers (ASCs). These outpatient centers offer patients lower costs and shorter…

Mergers and Acquisitions
Top Health Systems: Mergers, Acquisitions, Affiliations

Care center mergers and acquisitions are key indications of which health systems are thriving and which are falling behind. The consolidation, purchase, or sale of a care center can aid in lowering costs, increasing patient satisfaction, and expanding the number of services a provider can offer. In 2017 alone, Definitive…

Physician Groups
Are Independent Physician Groups Viable in the Long Run?

Physician groups and independent practices face unique difficulties as healthcare providers. Shifting state and federal guidelines, particularly regarding Medicare reimbursement, offer greater rewards to diversified care systems that can take on financial risk and refer patients to specialists within their own network. Practices with only a handful of physicians—or solo…

certificate of need
Top CONs of 2017

The Certificate of Need (CON) program is controversial in the healthcare industry. The program requires healthcare facilities to receive government approval before expanding, offering new services, purchasing medical equipment, and more. CONs were instituted in 1974 as a means of achieving multiple goals in the healthcare industry, including: adequate supply…

Mergers and Acquisitions
Do Some Nonprofit Hospitals Deserve Their Status?

The vast majority of hospital care in the U.S. has historically been delivered by nonprofit organizations, which benefit from a wide array of federal, state, and local tax exemptions. In recent years, however, the charitable status of some hospitals and health systems has been called into question. Tighter operating margins…

Disruptive Technology
What Disruptive Innovation Means for Healthcare Delivery

Disruptive innovation has been a source of growth and trepidation in the healthcare industry. The widespread adoption of EHR systems and first implementations of telemedicine have industry leaders questioning their roles in the future of healthcare—but not all disruptors are technological. There has been a monumental shift in the focus…

skilled nursing facility
Skilled Nursing Facility Reimbursement: Trouble Ahead?

The American Hospital Association (AHA) is urging CMS to implement an alternate Medicare reimbursement model for skilled nursing facilities (SNFs) before a new clinical groupings model is in place. The current model of Resource Utilization Groups (RUGS) has been criticized as incentivizing the overutilization of resources, as well as demanding…

healthcare IDNs
The Pivotal Role of Healthcare IDNs in Purchasing and Population Health

CMS is putting increasing pressure on healthcare providers to deliver high-quality care to patients at the lowest possible cost while simultaneously reducing preventable readmissions. Some care providers have joined accountable care organizations (ACOs) to meet these expectations. However, though ACOs are capable of providing coordinated, timely care, they have limitations…

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