Fee-for-service revenue remains dominant among healthcare provider organizations, but leaders expect a shift to value-based payment models over the next few years. They are testing models such as shared savings, bundled payments, and shared risk. The true degree of risk in these arrangements is unknown, as are the specific outcomes of the different models. Financial executives are challenged to make the right bets and to be sure their organizations have the necessary skills. The coming years are a bridge between the fee-for-service present and the pay-for-...

M&A in the hospital and health system business used to be relatively simple: big hospital or system buys smaller hospital or system. But in 2015, as organizations nationwide try to navigate the vast geographic differences in the pace and nature of healthcare reform, their solutions are equally myriad. [Sponsored by Bank of America Merrill Lynch]

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Clinical integration allows independent/private practice and employed physicians alike to jointly develop clinical initiatives with hospitals or health systems, aiming at patient care that's higher quality, more efficient, and less costly. These agreements also allow providers and care partners to formally align and collaborate on the critical requirements of care coordination: evaluation and concrete improvement of clinical performance, reduction of unnecessary service utilization, and management and support of high-cost and high-risk patients. According to...

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The healthcare delivery system in the United States is under unsustainable stress. How can individual hospitals, health systems, and health plans adapt to current changes and prepare themselves for bigger shifts ahead? This broad topic was the subject of an extraordinary gathering in January 2015 of healthcare executives representing leading organizations from around the country. In a series of conversations moderated by HealthLeaders Media editors, these experienced leaders shared their organizations' strategies, opened up about their anxieties for the future,...

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