Answering The Question – Who Can Afford Their Health Services?

Executive Briefing | June 24, 2017
Can Americans afford the health care services they need? That question is a big part of the current debate – from premium rates under the Patient Protection & Affordable Care Act (PPACA) to the proposed provisions in the recently...

The Ethics Of The Medical Costs Of Opioid Addiction

Executive Briefing | June 23, 2017
I was in Tennessee recently and a story from the Knoxville News Sentinel caught my attention – “As Drug-Related Heart Infections Climb, Doctors Weigh Ethics Of Operating — Or Not” The facts in the story were stark: There are...

Value-Based Reimbursement Developments Continue Reshaping (Every) Market

Executive Briefing | June 22, 2017
We’ve covered the evolution of changing reimbursement – from volume to value – over the past two years (see The Value-Based Reimbursement Steeplechase, What Health Plans Are Looking For? Hint: It’s Not A Bigger Provider Network, and Five Questions...

How To Build Successful ACO Health Plan Partnerships

Executive Briefing | June 21, 2017
For accountable care organizations (ACO) to be successful in our market, they need to build sustainable partnerships with health plans. And for a specialty provider organization to be successful in the world of ACOs, they need to position their...

Improving The State Of Collaborative Care

Executive Briefing | June 20, 2017
There is a lot of discussion about “collaborative care” – generally referring to integrating behavioral health and primary care services. We’ve certainly written about it a lot in recent months – Collaborative Mental Health & Primary Care Benefit Older...

Think Health Homes Are Only For Medicaid?

Executive Briefing | June 17, 2017
One of the misconceptions that our team sees in working with management teams of provider organizations that have traditionally served Medicaid consumers is the belief that the wants and needs of consumers insured by commercial health plans are far...

A Chaotic Environment Demands Fluid Strategic Planning

Executive Briefing | June 16, 2017
What’s going to happen with federal health care policy? It’s hard to tell since the House health care reform bill didn’t get enough votes to pass, and the Senate is meeting in secret right now (see Secrecy Surrounding Senate...

‘Going Digital’ For A Better Consumer Experience

Executive Briefing | June 15, 2017
Can health and human service organizations have a great consumer experience that does not have a digital component? Increasingly, the answer to that question is “no.” Even for the most personal of experiences (dating, banking, shopping, etc.), Americans now...

Five Questions To Ask To Build A Health Plan Proposal

Executive Briefing | June 14, 2017
Last week we had a great time in New Orleans at The 2017 OPEN MINDS Strategy & Innovation Institute, where among other things, we talked about the importance of innovation in the current health care market (see ‘Agile Innovation’ Needed...

The Tech Checklist For Value-Based Contracting Success

Executive Briefing | June 13, 2017
My past week has been filled with many discussions about the challenges of population health management, integrated care coordination, and value-based reimbursement – from both the payer and provider perspective. The field is at an early stage in the...

Network Adequacy Doesn’t Equal Consumer Access

Executive Briefing | June 12, 2017
With all the complaints about access to mental health care, the current state of provider network requirements for Medicaid managed care plans do little to address the problem. Starting at the top, the Centers for Medicare & Medicaid Services...

When Consumers Find Your Organization Online, Will They Pick You?

Executive Briefing | June 10, 2017
We’ve had an exciting week in New Orleans at The 2017 OPEN MINDS Strategy & Innovation Institute, with great discussion on not only the shifting market but the leadership required to make the shift to sustainability in a new...

The Value-Based Reimbursement Steeplechase

Executive Briefing | June 9, 2017
Over the last few days, both at The 2017 OPEN MINDS Strategy & Innovation Institute and in the days following the event, every discussion I’ve had has been all things strategy – shifting market (see Rethinking Your Strategic Competitive...

Marketing Is Strategy In Action

Executive Briefing | June 8, 2017
Greetings from New Orleans where we’re just wrapping up The 2017 OPEN MINDS Strategy and Innovation Institute! Throughout the week, we’ve touched on some big themes – the need for innovation for competitive advantage and sustainability; the push to...

Rethinking Your Strategic Competitive Landscape

Executive Briefing | June 7, 2017
Today was the final day of The 2017 OPEN MINDS Strategy & Innovation Institute – and it has been another great year in New Orleans. Over the past few days, 400+ executive thoughtleaders gathered to discuss their innovation successes...

‘Agile Innovation’ Needed For The Challenges Ahead

Executive Briefing | June 6, 2017
Greetings from New Orleans and the first day of The 2017 OPEN MINDS Strategy and Innovation Institute! This morning we kicked off the institute with a discussion on innovation. Why? Whether you’re an executive with a provider organization, care...

Taking A Functional Approach To Succeeding With Value-Based Reimbursement

Executive Briefing | June 5, 2017
Getting from “here” to “there” is the challenge for many organizations moving from traditional fee-for-service (FFS) to value-based reimbursement. That was the focus of my web briefing with Scott Green, Senior Vice President of CareGuidance at Netsmart, last Thursday,...

New Opportunities In The Shifting Medicaid Carve-Out Market

Executive Briefing | June 3, 2017
The Medicaid carve-out market is shifting. Last month, a Michigan House appropriations panel approved two new financing pilot models to help the state integrate Medicaid physical and behavioral health services by 2020 (see Michigan Legislative Panel Approves Financing Models...

Medicare Managed Care Is On The Increase – At Consumer Request

Executive Briefing | June 2, 2017
For years, the adage has been that only “payers” (employers, Medicaid, etc.) want managed care – and they wanted it to reduce costs. And, without saying it, the implication has been that moving to managed care is not something...