Walmart increasingly comparing physicians over cost: 5 things to know

https://www.beckershospitalreview.com/finance/walmart-increasingly-comparing-physicians-over-cost-5-things-to-know.html?origin=bhre&utm_source=bhre

Image result for attention walmart shoppers

Retail giant Walmart is upping its efforts to hand-pick which physicians are most likely to reduce healthcare spending on employees, according to The Wall Street Journal.

Five things to know:

1. Large companies like Walmart are examining data from public records and their own health plans, and tapping consultants, to compare individual physician costs. 

2. The top physicians Walmart chooses sport the best results at the most competitive costs. The company excludes or shies away from others with poor performance metrics.

3. More than 5,000 Walmart health plan members have visited hand-selected physicians. The company’s health plan covers travel and medical costs to pair employees with these top physicians for procedures like surgery and cancer care. 

4. Lisa Woods, senior director of U.S. healthcare at Walmart, told WSJ that the results from choosing top physicians have made the strategy vital. While health plans have narrowed provider networks for their plans, the selection has largely focused on hospitals and physician groups rather than specific physicians.

5. The efforts are paying off for retailers: Walmart, Lowe’s and McKesson Corp. saved about $19.4 million in 2017 when their employees saw specific spine and joint surgeons picked by the employers, according to the Harvard Business Review.

 

 

 

The New Metrics

http://www.healthleadersmedia.com/leadership/new-metrics?spMailingID=11811555&spUserID=MTY3ODg4NTg1MzQ4S0&spJobID=1222735046&spReportId=MTIyMjczNTA0NgS2

Image result for the new metrics

The business and clinical intelligence that are necessary for healthcare leaders to better manage their organizations are changing rapidly. Returns may be greatest for organizations that are able to measure outcomes and show value.

An old saying from Six Sigma and other process improvement regimes is that “what gets measured gets done.” That’s important for senior healthcare executives to remember. But that truth leaves out the critical question of what should be measured.

The options are literally endless, but determining the most important metrics to measure in an era in which healthcare is transforming is no trivial decision.

The move toward reimbursement based on the value the healthcare organization provides to the patient and the payer, which is happening at vastly different rates in some geographical areas compared to others, means that asking and answering that question at regular intervals is crucial.

If that’s the case, what are the metrics that leaders need to watch to ensure clinical, financial, and strategic success?

This special issue of HealthLeaders examines how high-performing organizations are instilling and adapting to new performance measures that healthcare leaders need to track to “get value done.”

Our editorial team talked with more than a dozen organizations in a variety of sectors, from leaders of hospital inpatient organizations to payer leaders, from leaders of postacute care organizations to information technology, nursing, and finance leaders; all have measurements they find useful to achieve value in a rapidly transforming healthcare business environment.

Some metrics may be familiar, such as admissions or readmissions per thousand patients. Other metrics may be unfamiliar, such as a “user resource metric,” part of which incorporates the speed with which patient calls are answered at a call center.

Many more important metrics are clinical in nature, but are often monitored and reported by the financial arms of the organization, as they provide a proxy for customer satisfaction, a growing component of the value equation.

Also critical is the latency of such measurements. For example, it’s less valuable to learn about line infection rates and sepsis diagnoses after the patient has been discharged, because little can be done to influence the statistics by that time.

Is Anyone Using That Dashboard You Created?

http://www.eremedia.com/tlnt/is-anyone-using-that-dashboard-you-created/?utm_source=hs_email&utm_medium=email&utm_content=34278179&_hsenc=p2ANqtz-8FZGluj88RwUJWb6intpEJU7Cw_7C1Ts1V9VHD7dXIl_BD5SNncRriZ6Hw5VkX6sCDvDnOoMA5i7csFQ3r5tFYNbCR2w&_hsmi=34278179

dashboard

In this era of people analytics, many HR leaders feel they ought to be producing dashboards. The problem is that they don’t know why — and that is one heck of a big warning sign. I’ll keep this brief, but here are a few headlines on how not to mess up dashboards.