How do you make your best even better? Regardless of the industry or the organization, answering this question is a driving force behind any leadership team’s efforts to continually fulfill its mission, vision and goals.
The U.S. specialty pharmacy industry is growing. Much of that growth can be attributed to healthcare provider-owned pharmacies. This infographic provides a snapshot of some key statistics on the specialty pharmacy industry trend in hospital systems.
Accountable care may still be a relatively new model in some areas, but the numbers of ACOs are steadily increasing. There were approximately 660 ACOs in the U.S. in 2015. The number increased to 838 last year. Success, however, can be elusive.
Why Phoenix Children’s Care Network Became the First URAC-Accredited Clinically Integrated Pediatric Network
When Phoenix Children’s Care Network (PCCN) became the first clinically integrated pediatric network to achieve URAC accreditation in April, it blazed a trail that other children’s hospitals are starting to follow.
While the new administration has brought uncertainty to what the Affordable Care Act will look like in the coming year, industry experts believe that the healthcare transformation will continue.
Four experts shared their insights into trends, opportunities and challenges for the coming year for physicians and provider networks.
By James (Larry) Holly, M.D., CEO, Southeast Texas Medical Associates
To be successful, the implementation of new policies and initiatives that will produce the future we imagine must be transformative – which comes from within.
Transformation results in change that is not simply reflected in shape, structure, dimension or appearance, but is also part of the nature of the organization being transformed. The process itself creates a dynamic which is generative. It not only changes that which is being transformed but it also creates within the object of transformation the energy, the will and the necessity to sustain and expand that change and improvement. Transformation is not dependent upon external pressure (rules, regulations, requirements) but is sustained by an internal drive which is energized by the evolving nature of the organization.
Hardly a month goes by that we don’t hear about a cyber or ransomware attack on a healthcare provider, manufacturer or health plan. Though major attacks are the ones that make the news, healthcare providers across the country face the risk of an attack of any size.
The Privacy Rights Clearinghouse estimates that more than 900 million records have been breached in the United States since 2005 as a result of nearly 5,200 reported incidents. Of those, about 30 percent—more than 1,500 data breaches—occurred in the healthcare industry.
With the final MACRA rule released on Oct. 14, the industry is now getting the chance to dig into all of the details of this 2,300-page document, especially the act’s Quality Payment Program, which replaces the Sustainable Growth Rate formula with two tracks of reimbursement—the Advanced Alternative Payment Models (APMs) or Merit-based Incentive Payment System (MIPS).
“Folks are now in the process of getting their heads around what’s in the final rule and determining what they have to do to respond in 2017,” said Aaron Turner-Phifer, URAC’s director of government relations and policy. “The most important thing right now is for practices and clinicians to be engaging with their medical societies and educating themselves on the best path forward.”