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What Are Your Margins? Owing to MACRA/MIPS, They Soon May Change

Historically, privately held medical practices have “dropped” excess cash through to the bottom line to pay the physician owners/shareholders (Figure 1).
Figure 1

Generally, hospitals compensate employed physicians exclusive of the system’s cost structure to run the practice (Figure 2).
Figure 2

Of late the mantra rippling across the country is “value vs. volume” or, put more linearly, […]

By |March 6th, 2017|

The ICD-10 Freeze is Over: 2017 ICD-10-CM/PCS Coding updates and the Impact on Clinical Documentation Improvement

The 2017 ICD-10 coding updates went into effect on October 1, 2016. The partial ICD-10 code freeze also ended in late 2016 and thousands of mandated code updates for ICD-10-CM and ICD-10-PCS went into effect at that time. These updates have an impact on clinical documentation improvement. In brief, these code updates occurred at […]

By |March 6th, 2017|

Interim Management Solutions: Take Time to Pursue the Right Hire

What do you do when you have a vacancy in your top-level leadership team? Do you rush to find a replacement, or do you pursue an alternative approach, such as finding an interim management solution, and take the necessary time to find a long-term leader?

When senior leadership positions turn over, whether planned or not, […]

By |March 6th, 2017|

Solidifying Organizational Development: Identifying and Retaining Leadership for Your Organizational Culture

Today’s business leaders in every industry find themselves in a sobering state of affairs due to a leadership deficit and organizational development challenges. The complex tasks related to managing the global enterprise are creating significant needs for effective leadership. So, what can an organization do when faced with this situation?

First, ask the question, “Does […]

By |February 17th, 2017|

Maximizing the Success of Healthcare Mergers and Acquisitions

Various types of transactions, such as healthcare mergers and acquisitions, joint ventures and physician alignment deals, are not new to hospitals. Indeed, there have been multiple waves of consolidation within the healthcare provider industry dating back decades and each wave brought new changes and in some cases challenges for those involved in such transactions. […]

By |February 17th, 2017|

Telemedicine: Leveraging Technology to Deliver High-Value Healthcare Services

Many articles in medical journals and magazines speak to the importance of telemedicine, i.e., the remote diagnosis and treatment of patients using telecommunications technology, and confirm its benefits in a reformed healthcare industry. However, few providers know how to incorporate telemedicine into their delivery systems. Two application examples include performing relatively prosaic tasks such […]

By |February 17th, 2017|

Professional Services Agreements as an Alternative to Employment: A Contemporary Option for Alignment and Integration

Integration of physicians and hospitals continues to be a major area of strategic and tactical consideration for organizations within the healthcare delivery system. How can you know what opportunity is best for you or your organization?

Private practices and health systems alike continue to evaluate their options for working together during the progression of the […]

By |February 17th, 2017|

Medicare Access and Chip Reauthorization Act: What You Need to Know About MACRA

In 2015, Congress passed the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which further pushed providers and CMS down the path of value-based reimbursement and away from fee-for-service reimbursement. Effective in 2017, MACRA requires CMS, through the Merit-Based Incentive Payment System (MIPS), to consider quality, cost, advancing use of clinical information, and […]

By |January 17th, 2017|

Healthcare Executive Forum Recap: Thriving in an Aggressive Healthcare Integrated World

Coker Group and their partner, GBS Corp, held an invitation-only executive healthcare forum in Scottsdale, AZ, at the beautiful Sanctuary Retreat, April 4-6, 2016.

Healthcare executives from hospital systems and large medical practices attended the two-day event in the desert sun to share ideas, expand networks, and discuss current issues. Attendees presented topics covering many […]

By |June 30th, 2016|

The First Step on the Road to Value: The Coker ValuePath™ Assessment

The challenges of moving from volume to value are significant and will require careful planning by healthcare leaders in all types of organizations. Whether you’re a large healthcare system wondering whether you should enter into an at-risk population health management contract, a hospital considering how you will operate successfully under a bundled payment model […]

By |June 30th, 2016|