Sg2 Blog

We have been here before; some have succeeded, or at least gotten by, while many have failed. At what? Building an integrated model where the health system is both the provider and the payer. Lessons were learned, yet today’s economic uncertainty, rising costs and hospital financial performance coupled with major insurer reluctance to continue fee-for-service (FFS) rate increases have hospit...

Perhaps one of the hottest topics in healthcare today, Medicare Advantage (MA) is anticipated to have a monumental year in 2023. Not only do Congressional Budget Office (CBO) projections indicate 2023 will be the year MA penetration surpasses the symbolic majority threshold of 50% nationally, but also major regulatory changes are set to be enacted or finalized that will impact both plan sponsors a...

Health systems and providers have participated in alternative payment models ranging from pay for performance to full risk across all payer classes. Not surprisingly, many participants have exited these models as the industry experiments while navigating the transition to value. Too many organizations have drawn conclusions about the efficacy of value-based care (VBC) based on incomplete informati...

Sg2 partners with chief strategy officers and executives from leading health systems to understand the role of strategic planning and how it continues to evolve in response to broader industry trends. Learn how organizations are currently approaching the planning process by checking out findings from our recent survey of senior strategy leaders. Download our Strategic Planning Placemat to better u...

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 these tie to VBC. The following post draws from recently released earnings call transcripts fr...

As children's hospitals and providers of complex pediatric care emerge from the pandemic, we have seen familiar challenges and priorities tenaciously reemerge. Chronic inadequacies in pediatric behavioral health service delivery, combined with pandemic-induced disruption and stress, have worsened today's acute pediatric mental health crisis. The rising prevalence and severity of pediatric behavior...

Each year Sg2 debuts the latest enrollment projections from our five-year Insurance Coverage Estimates (ICE) demand forecast. The team considers ZIP code level, age, federal poverty level, ethnicity and gender data to meaningfully distribute the population across financial groups. The following national trends were key inputs to the 2023 ICE model. Note: Numbers may not add due to rounding. Sourc...

Note: Vizient's David Levine, MD, FACEP, Group Senior Vice President, Advanced Analytics and Product Management and Simrit Sandhu, Executive Vice President, Strategic Transformation and Clinical-Supply Solutions also contributed to this report. Health system leaders have faced unprecedented challenges over the past three years. The pandemic caused a sharp decline in inpatient volumes and a tempor...

Prioritize where to begin care at home efforts in your organization Care at home is not a new concept to many in the healthcare sector as it has existed in some form for the past 30 years. But the COVID-19 pandemic accelerated the need to deliver care differently, specifically leveraging digital health capabilities and shifting care into the home setting. According to Sg2’s Impact of Change&...

With the Strategy Accelerator program, efforts to strategically prioritize care at home programs for deployment take shape. Amid increasing inpatient lengths of stay; capacity limitations; and pressure from competitors, policy makers, payers and patients, the forces pointing to care at home as an opportunity continue to mount. However, success requires careful planning and analysis to craft a tail...