Micro-hospitals could prove financial boon and salvation to healthcare systems

http://www.fiercehealthcare.com/finance/micro-hospitals-could-prove-financial-boom-and-salvation-to-healthcare-systems?utm_medium=nl&utm_source=internal&mrkid=959610&mkt_tok=eyJpIjoiT0RFMVpXTmtZV1F5TURJNSIsInQiOiJvZEFnVmQrcVlVZXdHNlZuTkxTc1ZmVGVJNlNtTld6QTNtUWd4aG90RjI0dGpueEpZRCtUUHVnMUs5cFNUbnA5blFhOVdCTUFRenh3M1h2VGZSaDBZdkR2U1ZLNzQ2c0daY0FJSm9cL0F5VmM9In0%3D

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So-called “micro-hospitals”–acute care facilities with six to 10 beds–could actually prove to be big moneymakers for healthcare systems.

The Indianapolis Business Journal has reported that such hospitals can allow healthcare systems to bypass site neutrality rules that prohibit billing at inpatient rates if a facility is located more than 250 feet from an acute care facilty. Moreover, their construction costs, at between $7 million and $30 million, are a fraction of what it costs to build a full-size hospital.

Most micro-hospitals are open around the clock like a typical acute care facility, but they tend to offer limited services, such as observation care and short stay inpatient admissions.

A “Volatile Marketplace”: Second Quarter Earnings Calls Offer Glimpse of How Insurers Are Faring on ACA Marketplaces—and What 2017 Might Bring

http://www.commonwealthfund.org/publications/blog/2016/sep/volatile-marketplace?omnicid=EALERT1094761&mid=henrykotula@yahoo.com

This has been a turbulent year for the Affordable Care Act (ACA) marketplaces. As part of our ongoing efforts to better understand how the post-ACA insurance markets are evolving, we reviewed the 2016 second-quarter (Q2) earnings calls and financial filings of several large, publicly traded insurers that participate on the marketplaces: Aetna, Anthem, Centene, Cigna, Humana, Molina, and United.1  While the picture provided by these calls and financial reports is limited – dozens of other participating insurers are not required to report to investors because of their nonprofit or private status – they can help us better understand some of the trends affecting the marketplaces’ stability, including insurer exits from some health insurance marketplaces and increases in 2017 premiums.

 

Kaiser CEO Bernard Tyson on Balancing Technology and Human Touch

http://www.medscape.com/viewarticle/867711#vp_1

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In this One-on-One with Medscape Editor-in-Chief Eric Topol, Bernard Tyson outlines his remarkable career at Kaiser Permanente, where he advanced from a position in the medical records department to become CEO of the $60 billion-a-year company. He also talks about why the human touch will always be at the center of healthcare, even as technology revolutionizes patient care.

http://www.fiercehealthcare.com/it/how-kaiser-permenente-aims-to-boost-cool-factor-health?utm_medium=nl&utm_source=internal&mrkid=959610&mkt_tok=eyJpIjoiTURka05USTVOV1V5TWpBeSIsInQiOiJSR3lDRUVFXC83UUZQbklYNkpoXC85cUpLWE1FdThtSlhudzFVY2hOWEFSZWVsbnEzTWxRWTdPSDdiRXBpY3BTSDdldG5CazMrZlh3YmU4a3hQOFVkcStGQ2xlR0RsM29tNkZrRHp0UGd1NmdZPSJ9

 

Chris Van Gorder on Scripps Health’s “no lay-off” philosophy

Image result for Chris Van Gorder on Scripps Health’s “no lay-off” philosophy

Scripps Health CEO Chris Van Gorder talks about their “no lay-off philosophy.

 

Chris Van Gorder on the changing face of healthcare

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Scripps Health CEO discusses the changing face of healthcare and his hope for the future.

Chris Van Gorder on 3 major themes of front-line leadership

Image result for Chris Van Gorder on 3 major themes of front-line leadership

AHL founder & CEO Dan Nielsen sat down for an in-depth interview with Chris Van Gorder, president & CEO of Scripps Health in San Diego, CA. This is a brief excerpt from that interview, during which Van Gorder describes 3 of the major themes of what he calls front-line leadership—the focus of his book, The Front-Line Leader: Building a High-Performance Organization from the Ground Up.

CEO Power Panel: Are your physicians ready for reform?

http://www.modernhealthcare.com/article/20160903/MAGAZINE/309039989?utm_campaign=socialflow&utm_source=twitter&utm_medium=social

Modern Healthcare CEO Power Panel

Like it or not, ready or not, MACRA is coming.

Anxiety is rippling through the healthcare industry as the initial reporting period for Medicare’s new payment system for physicians fast approaches. Modern Healthcare’s latest CEO Power Panel survey reveals leaders are bracing for uncertainties and challenges generated by the law, formally titled the Medicare Access and CHIP Reauthorization Act.

This coming phase will be extremely painful for doctors, CEOs worry, even as they applaud the overarching goal of paying for healthcare on the basis of quality over quantity. They are keenly aware of the near-term challenges of managing these growing pains and of successfully mitigating potential negative consequences. But they are also optimistic—even confident—that patients and physicians stand to benefit in the long run.

Why the Lahey-Beth Israel merger has failed three times

http://www.beckershospitalreview.com/hospital-transactions-and-valuation/third-time-s-not-a-charm-why-the-lahey-beth-israel-merger-has-failed-three-times.html

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Why have 2 Boston hospitals failed to merge — 3 times?

Burlington, Mass.-based Lahey Health and Boston-based Beth Israel Deaconess have attempted to join forces numerous times, but to no avail.

They tried to merge in 2011. They took another stab at it when they teamed up with Newton, Mass.-based Atrius Health in 2012. Merger talks were once again sparked earlier this year, only to fall through in September.

Despite the effort, the health systems can’t seem to pull it together and unite. But their attempts at merging show more than a lack of a solid relationship — they provide a deeper look at the background of healthcare in Massachusetts and the power of market share.

What 4 health system CEOs think of hospital consolidation

http://www.beckershospitalreview.com/hospital-transactions-and-valuation/good-bad-or-too-tough-to-say-what-4-health-system-ceos-think-of-hospital-consolidation.html

Market Power

There is a great deal of consolidation occurring in the healthcare industry today, and whether that is good or bad news to health system CEOs depends on their organization’s market and M&A track record.

During a panel discussion at the Becker’s Hospital Review 4th Annual CEO Roundtable + CFO/CIO Roundtable in Chicago, Chuck Lauer, former publisher of Modern Healthcare, asked the speakers to offer their thoughts on provider consolidation.

Here’s how CEOs responded.

The rise of ‘super regional systems’ and what it means for healthcare

http://www.beckershospitalreview.com/hospital-transactions-and-valuation/the-rise-of-super-regional-systems-and-what-it-means-for-healthcare.html

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Consolidation has touched all facets of healthcare, including hospitals of all sizes, medical groups and insurers, and this trend will significantly affect the industry as a whole.

Mergers, acquisitions and other types of partnerships are critical as hospitals focus on providing coordinated, cost-effective care. There has been an increase in hospital M&A in recent years, with transactions rising 18 percent in 2015 compared to the year prior, according to an analysis by Kaufman, Hall & Associates.

Through consolidation, hospitals become more efficient and, many times, improve care quality. However, consolidation also increases leverage and causes revenue to rise. This has led to the creation of “super regional systems,” says Gregory F. Hagood, senior managing director and president of SOLIC Capital. This trend is noted in almost every major market, but it is most visible in metro areas like Chicago.