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Health Equity
Using Social Drivers of Health to Reduce Admissions for Diabetes Patients, Among Others
As healthcare organizations face unprecedented workforce and financial challenges, much emphasis is placed on capacity constraints with rising acuity and regulatory scrutiny as powerful underlying trends. Many systems struggle to find the right balance between their margins and their missions, and often see their capacity realities outweigh their community's health equity needs.
Or, if they've lau...
Payment Evolution
It’s Time to Refresh Your Value-Based Care Strategy: Six Trends to Consider
Most health care systems by now have defined their strategy for addressing value-based care (VBC)—even if that strategy is to minimize their involvement in VBC arrangements. To stay relevant, strategies require regular evaluation to consider current trends and market conditions. This is especially true with VBC, since VBC touches every aspect of health care financing and delivery. Any market...
Payment Evolution
Five Observations From 2023 Third Quarter Earnings Calls: Legacy Payers and VBC Market Entrants
As part of Sg2’s value-based care (VBC) analysis and market research, we review the quarterly earnings calls from a subset of publicly traded legacy payers and VBC-focused entrants. The summary is designed to highlight emerging trends and dynamics in these closely related industries, especially as they tie to VBC. The following post draws from recently released earnings call transcripts fro...
Consumer Strategy
Transforming Health Care Through Consumer Centricity
In today’s fiercely competitive health care landscape, where patient expectations are soaring and access to care remains to be a challenge, your organization can evolve and thrive with a strong focus on consumer centricity. What is consumer centricity? It’s all about putting the needs of health care consumers first. The goal is for health care providers to create much more value for the patients b...
Payment Evolution
Sustainable Value-Based Care Transformation Needs an Enterprise Approach
Many health care delivery organizations have a difficult time defining what value-based care (VBC) looks like for them. Even more challenging is developing a thoughtful plan around VBC and how that plan complements other enterprise strategic initiatives. Too often VBC plans are created in a vacuum, and as a result, either the implementation becomes a “VBC department initiative” or, eve...
Consumer Strategy
Transforming Access Strategies: Think Like a Retail Giant to Improve Access
With the ever-changing health care landscape, it's essential for organizations to prioritize access as a critical part of their value proposition to consumers. Patients as consumers are savvy now and have more options than ever on where to receive care. By adopting a consumer-centric approach, health care systems can create a seamless and convenient experience for patients. Drawing inspiration fro...
Payment Evolution
A Fresh Look at MSSP—Amplify Your Strategies With a Time-tested Program
Exploit vs explore: balancing focus on legacy business model while evolving in a dynamic environment.
Business leaders across industries can appreciate the importance of balancing exploration of new opportunities with optimizing the existing business model. Strategists have termed this the “explore vs exploit” paradigm. Health systems, like all businesses, must balance their traditiona...
Strategic Planning
Unleash Your Health Care Organization’s Hidden Revenue Potential
Editor's note: Tammy Tiller-Hewitt, FACHE, CEO, Tiller-Hewitt HealthCare Strategies, contributed to this post.
Imagine being able to report that you discovered an opportunity to generate $26 million on average in year-one incremental net revenue. This kind of opportunity comes from high-value referrals based on your health system's current facility footprint and service lines. You can tap into y...
Consumer Strategy
Transforming Data Into Actionable Insights
In a recent meeting, a CFO shared a common frustration among healthcare systems—having an abundance of data but lacking meaningful information. This trend is seen across the nation as health systems struggle to make sense of the statistics and metrics they collect. That raises the question: How can you turn this data into insights you can act on to improve performance?
Health systems are con...
Digital Health
Key Takeaways From the HIMSS 2024 Conference
Seeking to outrun the growing shadow of newer conferences like HLTH and ViVE, the 2024 HIMSS Global Health Conference & Exhibition brought together roughly 30,000 attendees to discuss the latest in health care IT trends and product developments. The topics covered were nothing unexpected: AI dominated session headlines and vendor pitches, but there was still plenty of attention spent on other ...