Blog

New York State’s (NYS) Delivery System Reform Incentive Payment (DSRIP) program, a component of the NYS Department of Health’s (DOH) 1115 Medicaid Waiver, provides a unique opportunity for providers to invest in the delivery system and financial incentive transformation required for long term financial sustainability in a population health management business model. The DSRIP program […]

Providers in California, Texas and New York are currently implementing transformation projects under various 1115 Waivers to achieve the Quadruple Aim: better health, better care, less cost, higher satisfaction.  Work under delivery system reform incentive payment programs (DSRIP) — the component of 1115 waivers that pays for outcomes if providers change practices from volume to […]

As mass media totes an impending national nursing shortage, many young students and career transitioners are flocking to nursing school. In Fall 2015, total nursing baccalaureate enrollment totaled 331,703, up from 180,127 ten years ago1. As a result of this increased enrollment, the Health Resources and Services Administration (HRSA) estimates the number of licensed registered […]

How quickly can a health care market shift from traditional fee-for-service to payments based on value? New York state has a worthy but ambitious goal of moving 80-90% of managed care organization Medicaid expenditures to value-based payment (VBP) by 2020. In order to accomplish this, the state is using a carrot and stick approach with […]

Remote patient monitoring has the potential to improve care management and lower costs for high-risk patients – but the right devices alone are not enough. Organizations must think about how and where to integrate remote patient monitoring into the care management work flow, as well as the operational support needed to support a remote monitoring […]

The New York State DSRIP program aims to create accountability at a community level for improving health outcomes for the Medicaid population. It accomplishes this by using performance-based contracting to incentivize community providers to work together towards this common goal. These contracts are executed in multiple phases with distinct objectives, and rely on the core […]

Health care payers are rapidly adopting value-based payments as a model of choice, tasking hospitals with the necessity of designing a health care delivery system that can achieve payment reform expectations. Value-based payments are rooted not only in improved clinical outcomes, but also in advancing cost-efficient delivery of care. Stewardship programs are one mechanism by […]

The Path to Payment Reform: More than 50 percent of all payments to medical providers – health systems, physicians and other care providers – are made by federal, state and local government funds1. These costs have accelerated to reflect an aging population and price inflation, and are projected to account for nearly 20 percent […]

Many healthcare organizations are considering using customer relationship management (CRM) systems to manage the development of their provider network. Many healthcare leaders have never managed the deployment of a CRM system and face pitfalls both generic to all CRM deployments and unique to those for network development in healthcare. Here are a few of the […]

Problem: Limited Resources: There is incredible pressure to change operations in health care delivery. In the clinic and the hospital, where the patient interacts with the care delivery team, providers must create often complex transformations to continue to be financially successful, keeping their doors open to the community. EMR implementations, through-put redesign, socioeconomic health […]