In the News: March 16–22

Sg2 is dedicated to helping our clients interpret the latest news and trends in health care. Below you’ll find our analysis of this week’s key industry headlines, along with links to related Sg2 resources.

Independent Physicians Can Inform Referrals

An independent physician survey by SCI Solutions found that many independent physicians do not have a preferred hospital partner. Out of those who did, most said more than 70% of referrals went to top hospital partners, suggesting hospitals can increase and solidify their referral channels by emphasizing convenience and care coordination with local independent physicians.

Sg2 believes hospitals need to understand patient movement through local care pathways to be successful in evolving markets. Register for the upcoming Sg2 webinar: Identifying Downstream/Upstream Utilization to learn how to use data-driven insights into local patient patterns to uncover competitive opportunities and critical business risks in your channel strategy.

CMS CABG and AMI Bundles in Limbo

CMS’s interim final rule further delays the effective date of regulations pertaining to Medicare’s mandatory bundled payment models and the Cardiac Rehab Incentive Payment Model. This moves the new payment models’ start date from July 1 to October 1, 2017. CMS is continuing its review, considering potential modifications and seeking comments for an additional delay to January 1, 2018.

Despite the temporary freeze, Sg2 feels episode payment model preparation has not been a waste of time, and the opportunity exists to proactively develop bundled products to leverage organizational strengths. Watch Sg2 experts outline a prioritization matrix to guide bundle selection across service lines and provide programmatic strategies for success in this webinar: Building the Bundle: Prioritize for Success.

Employees Are Empowered After Selecting Benefits in a Marketplace Environment

A recent Liazon survey asked participants to compare their understanding of health care and benefits before and after enrolling in insurance through the Liazon marketplace website, which includes educational resources and plan comparison tools. Of respondents, 82% indicated they felt empowered to take control of their health, and a majority said they were more aware of their medical costs, suggesting that individuals are encouraged to take greater control over both when benefits are provided through the marketplace environment.

The online marketplace is just one example of how new trends in consumerism have begun to reshape the health care consumer industry. For Sg2 insights into these industry patterns, check out the Sg2 report: Engaging the New Health Care Consumer.

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As of February 11, 2016, Vizient, Inc. has completed its purchase of MedAssets Sg2 and spend and clinical resource management segments from Pamplona Capital Management, LLC. MedAssets revenue cycle business will continue to operate as a wholly-owned subsidiary of Pamplona Capital Management LLP.

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