Top Resources on Financial Management & Risk Management

As selected by the OPEN MINDS Market Intelligence Team

  • The Race For Value-Based Reimbursement Continues

    Feature Article | December 15, 2017
    To say that this has been a year of uncertainty may be an understatement. We saw a new President and administration, changes in leadership at the Centers for Medicare & Medicaid Services (CMS), more than one attempt at repealing...
  • State-By-State Analysis Of Medicaid MCO Requirements For Provider Alternative Payment Models: The 2017 Update

    Market Intelligence Report | October 31, 2017
    Alternative payment methodologies (APMs) is an umbrella term used to describe payment models that focus on quality, cost of care, or both, rather than utilizing pay-for-volume or fee-for-service payment models. APM are used across all payers—Medicare, Medicaid, and commercial—in...
  • Looking Ahead To The Era Of Configured Networks

    Executive Briefing | October 30, 2017
    Last week, Deborah Adler, the Senior Vice President, Network Strategy, at Optum Behavioral Health, provided an update on some key elements of Optum’s network development strategy in her keynote at the mhca fall conference, “Industry Network Trends.” My big...
  • Understand Your Data, Make Decisions Quickly & Fail Fast

    Executive Briefing | October 28, 2017
    When thinking about success in managing capitated contracts, don’t underestimate the need for speed. That was one of my takeaways from the session, The Clinical Perspective On Managing Capitated Contracts, led by OPEN MINDS Senior Associate Sharon Hicks and...
  • Sustainability Management = Portfolio Management

    Executive Briefing | October 26, 2017
    Greetings from the very hot city of Phoenix where I kicked off the mhca fall conference a couple of day ago. My opening remarks, Navigating The Behavioral Health Market Shifts in Finance, Tech, & Emerging Competition, focused on every...
  • Changing Accounting Rules & The Shift To Value-Based Reimbursement

    Executive Briefing | October 12, 2017
    Come this December, publicly traded companies and organizations with publicly traded debt will have to comply with new revenue recognition rules adopted by the U.S. Financial Accounting Standards Board and the International Accounting Standards Board—known as ASC 606. The...
  • Building A Technology Infrastructure For Value-Based Care: Tech To Support Performance Management

    Feature Article | October 4, 2017
    Provider organizations with all consumer data in electronic format, with the ability to share and receive data from other provider and support organizations. Clinical leadership with population data able to utilize shared decisionmaking models to stratify consumers by risk...
  • Want To Be A Health Plan ‘Partner’? Answer These 5 Questions

    Executive Briefing | October 3, 2017
    Last week at The 2017 OPEN MINDS Executive Leadership Retreat, our faculty provided an insider look at key market trends – including the increased competition for care coordination contracts, more value-based reimbursement, and the changing role of technology. For...
  • Creating Innovative Partnerships With Managed Care Plans

    Industry Resource | September 29, 2017
    In a market increasingly driven by value-based care, behavioral health organizations across the country are developing new initiatives to improve services, optimize revenue, and reduce risk in this new environment – integrating primary and behavioral health care, developing new...
  • Payer, Provider, Partner

    Executive Briefing | September 11, 2017
    We’re at the stage where the field is moving from talk to action on value-based reimbursement (VBR) and health plan/provider partnerships. While our January survey found only 40% of specialty provider organizations had some type of VBR arrangement in...
  • The Power Of Bundled Rates

    Executive Briefing | February 21, 2017
    In the face of big policy unknowns in health and human service, it appears that one practice is likely to remain with us – reimbursing service provider organizations for value from a wide array of value-based reimbursement models. And...
  • Why Unit Costs Matter & What To Do About It

    Executive Briefing | March 7, 2016
    I heard an interesting comment at a recent meeting when two managers of a provider organization were talking about the upside of value-based payment models – “we won’t need to worry about unit costs and productivity anymore.” I’m sure most managers realize...
  • What Is Metrics-Based Management & How Do You Do It?

    Feature Article | February 29, 2016
    Here are the challenges for organizations serving complex consumers – drive innovation, enhance care quality, and improve operational performance. Why? Coordinated care, value-based payment, and competitive bidding are just a few of the big drivers pushing health and human service organizations...
  • What Do You Need To Demonstrate & Manage Your Value?

    Executive Briefing | February 24, 2016
    Earlier this month at The 2016 OPEN MINDS Performance Management Institute, we heard a lot from both payers and provider organizations about the system-wide move to value-based care: The Health Plan Perspective On Improving Performance & The Future Of...
  • The Keys To Successful Management Of Capitated Contracts

    Industry Resource | February 18, 2016
    This presentation was led by Joseph P. Naughton-Travers, Ed.M., Senior Associate, OPEN MINDS at the 2016 OPEN MINDS Performance Management Institute in Clearwater Beach, Florida, on February 11, 2016. In the presentation, Joseph P. Naughton-Travers discussed how to properly...
  • The Business Model Transition To Value-Based Care

    Executive Briefing | February 12, 2016
    Hello again from sunny Clearwater, where we are wrapping up The 2016 OPEN MINDS Performance Management Institute. It’s been a power-packed three days – with a focus on the evolution of pay-for-performance and value-based contracting. The discussion has left...
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