The following resources have been provided for your quick reference. If you would like access to other information authored by the McManis team that is not listed, please contact April Costigan
HFMA’s Value Journey reports
In collaboration with the Healthcare Financial Management Association (HFMA), McManis Consulting conducted interviews, surveys and site visits that explored numerous issues related to value improvement in healthcare. McManis and HFMA co-produced two reports in 2012. The first, Defining and Delivering Value, explores how payers and purchasers define value, and what they see as key to improvement. The second, The Value Journey: Organizational Road Maps for Value-Driven Healthcare, describes in detail how different types of providers – integrated systems, academic medical centers, multi-hospital systems, rural hospitals and freestanding facilities – are preparing for the transition from fee-for-service to value-based payment.
Download the report here
Assessing Health Plan Ownership
Healthcare providers have unprecedented opportunities today to own and operate health plans, but they need to understand the full ramifications of such a strategy.
Lately, it seems that not a week goes by without an announcement that a provider organization intends to either acquire or start its own health plan. About one in five hospital networks currently operate health plans, and according to a recent survey of 100 hospital leaders, another 20 percent are exploring doing so.
When a Health System Develops its own Road Map
For a hypothetical and typical health system, deciding how to get from where it is today to where it needs to be in five years is an intricate — and also critical — undertaking.
Case Study from Healthcare Financial Management Association’s February 2013 publication. Written by Keith D. Moore, Katie Eyestone and Dean C. Coddington.
The Healthcare Cost Curve Can Be Bent
It may be possible to check the steep rise in our nation’s healthcare costs, but to do so quickly and effectively will require a concerted effort by all stakeholders to tackle the primary drivers of those high costs.
Feature Article from Healthcare Financial Management Association’s March 2013 publication. Written by Keith D. Moore, Katie Eyestone and Dean C. Coddington.
Defining and Delivering Value – HFMA’S Value Project: Phase 2
Of the many forces transforming our nation’s healthcare system, none is more significant than the turn from payment based on volume to payment based on value. Value is driving a fundamental reorientation of the healthcare system around the quality and cost-effectiveness of care. As in any industry, value in health care is defined through the relationship of two factors: the quality of care and the price paid for it. Increasingly, key stakeholders — including government payers, commercial health plans, employers, and patients — expect to know the value of the healthcare services they are purchasing. They are seeking out providers who will give them this information and follow through with cost-effective care. In other words, they expect to receive value.