Affiliate Clinic Strategies-Overview
Hospitals and physician groups are facing real challenges to profitable growth, including lower inpatient volumes, higher uninsured patient populations and new pay-for-performance reimbursement policies. To remain competitive, you will need to re-evaluate your clinical service mix, health plan contracts and market strategies in order to react to challenges while driving toward your revenue goals.
Are you receiving equitable reimbursement for the services you provide?
Understanding your organization’s contribution to care is critical to performance-based reimbursement. We can help you determine your comparative effectiveness in many clinical service areas and develop pricing strategies that build on your strengths. This helps you increase efficiency and, therefore, profits.
Clinical Service Strategies
Do you offer the right mix of differentiated services to attract patients for long-term success?
Specializing in or eliminating certain practices can differentiate you from competitors, create loyalty and drive patients to your organization. We can help you determine the optimal service mix for long-term success.
How will pay-for-performance payment methodologies impact your revenue?
Many payers are now employing pay-for-performance payment contracts in an effort to build the quality networks employers demand. We can help you evaluate various contracting strategies and implement the models that make the most sense for your organization. Then, using sophisticated actuarial and financial models, we can help you prepare for the most challenging negotiations.
Affiliate Clinic Strategies
Are you strengthening ties with your affiliate clinics by making an ambulatory EMR available to them?
Until now, implementing EMR technology has been out of reach for many health care organizations and their extended enterprises. We provide support to health care organizations interested in making ambulatory EMRs available to affiliate physicians. This includes creating a comprehensive plan that clearly defines assumptions, risks and options. We also provide both implementation and communication plans to unite your interests with your affiliate clinics’.