In order to stay abreast of the latest news and trends in this fast changing environment, we decided to start a blog. The Coker Group Report allows our consultants the opportunity to share postings on their thoughts and insights on topics relevant to everyone who is interested in healthcare.
Over the last few decades, conversations relative to alignment between physicians and hospitals have become increasingly more common, with providers seeking new and alternative ways to partner. While the dialogue has shifted from discussions solely about employment (i.e., the 1990s to early 2000s) to more innovative models (common in the most recent decade), the […]
Mergers and acquisitions (M&A) is not a new concept for hospitals and other healthcare industry organizations, particularly during the era of hospital-physician alignment. Making M&A transactions work, however, is an entirely different exercise and increasingly challenging in today’s marketplace.
The foundation of this discussion is to first define what we mean by “making a transaction […]
An increasing number of self-insured employers face rising premiums and real, or perceived, cutbacks in quality of care from their health insurance carriers. In response, providers are stepping into the breach and offering direct-to-employer (DTE) contracting for the delivery of healthcare services.
Hospitals, health systems, and clinically integrated networks (CINs) of providers are offering the […]
Optimizing physician schedules improves operational efficiency and provider productivity. Several scheduling strategies are available, as no single option fits all medical groups. The model that is best for your practice will depend on your specialty and other factors. For example, consider these scheduling options:
Cluster Scheduling involves establishing a schedule template for groups of […]
Believe it or not, many organizations and individuals still don’t know or aren’t aware of the following facts about MACRA. Do you know that:
MACRA has already begun and the full implementation, including payment adjustments, is set for January of 2019.
MACRA’s quality payment programs (QPPs) are the first of many value-based reimbursement (VBR) […]
Whether you are reviewing a new IT vendor contract or negotiating new terms and conditions of an existing agreement, there are many key factors to consider. Most customers believe the primary factor in deciding on a vendor is the price, but there are specific provisions to look for to ensure your company is meeting […]
Compensation arrangements in the healthcare industry continue to evolve and adapt amid an ever-changing reimbursement landscape. The most notable shift is from a fee-for-service or fee-for-volume model to a version that incorporates elements that recognize quality outcomes, cost efficiency, and patient experience. The evolution from volume to value will also effect changes in the […]
Every day seems to bring more news from CMS about bundled payment programs. It is becoming increasingly clear that Medicare considers bundling as their preferred method of payment as they move toward their goal of tying 90% of payments to quality or value by the end of 2018. Why bundles? Well, quite simply, that’s […]
Revenue cycle (RC) operations are dynamic with many different components impacted by variables within practice operations. Given the diminishing margins in healthcare, proper attendance to the RC processes is essential. Whether the practice is in a heavily managed payer environment, remains mainly fee-for-service, or is an elective, i.e., cash-only business, the revenue cycle system […]
Filling a vacant position such as a C-Suite leader is never straightforward. The balance between moving swiftly to find the right candidate, yet not hastily and making the wrong move, proves to be an enormous challenge for which it is difficult to prepare. But when a vital role is vacant, the urgency to fill […]