Blog

Independent Physician/Provider Associations (IPAs) are key mechanisms for physicians, health systems and federally qualified health centers (FQHCs) to align and engage in value-based payment arrangements that add value to payors and attributed members. Here we discuss benefits to IPAs for engaging FQHCs and community-based organizations (CBOs) into their network, and care model and funds flow […]

Given the rising unemployment rates as a result of Covid-19, health systems and IPAs should expect an increase in their Medicaid population as people lose their employer coverage and shift to Medicaid or exchange products. Health systems and IPAs will need to look at their FQHC strategy to help manage their growing Medicaid population. This […]

Introduction The federal government has announced multiple grant and loan funding opportunities to aid health care providers facing increased expenses and lost revenues due to the Covid-19 pandemic. It is anticipated that additional federal funding will become available as the pandemic continues. Many of these funds, however, are first-come, first-served. Health care providers need to […]

Background: On May 12, the New York State Department of Health (NYSDOH) submitted an extension request to the Centers for Medicare and Medicaid Services (CMS) for the Section 1115(a) Waiver for funding authority of $2.75 billion to respond to the Covid-19 public health emergency. The request comes after surmounting pressure on the federal government […]

Covid-19 has had significant financial impact on independent physicians and physician groups. To not only survive but to thrive post Covid-19, physicians and their medical group, ASC and other related companies need to ensure financial sustainability in the short-term while thinking through longer-term strategic opportunities. In this webinar, we’ll discuss immediate and anticipated government funding […]

Health plans face unique challenges brought on by the Covid-19 pandemic. The most successful plans will have a plan for short term mitigation related to Covid-19 impacts as well as a strategy to look beyond today’s realities and shape premiums, benefit design, network configuration and provider contracting alignment for 2021 and beyond. Attendees will learn: […]

As the Covid-19 pandemic has swept the nation, all health care stakeholders have had to make major adjustments to their business strategy and operations. Hospitals in hot spots such as New York City and New Orleans have been in the headlines, struggling to meet the surging demand while trying to keep their workforce healthy. Meanwhile […]

As hospitals, physician groups and other providers, such as FQHCs and ambulatory surgery centers, seek to access Covid-19 relief through the CARES Act, there is confusion as applicants work to determine eligibility, timing, distribution of funds and more. Adding to the complexity, there are additional sources of funding announced, with more federal legislation in development. […]

Covid-19 will have a lasting transformative impact on how health care is delivered in the U.S. The crisis has expedited the movement of care from hospitals and clinics to the community and home via remote technology, as providers build their telehealth and home-based care management capabilities. At the same time, the federal government has relaxed […]

Health systems, hospitals and other organizations need to start tracking the financial impact of COVID-19 immediately to obtain available funding. Many of the allocations “are to remain available until fully committed and expended.” This means, “first come, first serve.” There are critical revenue loss and COVID-19 related cost identification, tracking, reporting and audit readiness activities […]