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Healthcare leaders face enormous challenges as the industry transforms to a value-based model, and developing the right data capabilities is critical to success. With the value-based care transition upon the industry, all healthcare organizations strive for a similar goal—obtaining data-driven insights to make better decisions and improve patient outcomes.

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Organizational success in the new healthcare environment requires implementing growth strategies that allow providers to meet patients’ needs across the care continuum. That means developing an effective means of physician engagement, alignment, and partnership, which are key to referral and market share growth as well as care continuum integration. Yet these familiar terms used to describe cooperation between administrators and physicians are often misunderstood, meaning the execution of a strategic initiative could fall short of goals. In this Roundtable...

Efforts to inject consumerism into the delivery of healthcare services such as high-deductible health plans are transforming the role of patients as economic agents. As patients become more involved in their healthcare—and in the financial responsibility for that care—revenue-cycle teams face matching challenges to evolve their operations and patient-engagement strategies. Roundtable panelists examine several related topics, including price...

Despite—or perhaps because of—the uncertain timing of the shift from fee-for-service to value-based payment, most healthcare providers are eager to prepare for risk-based reimbursement. They are trying different arrangements with and without payers. But providers are leery of taking on higher levels of risk exposure, such as shared profit-and-loss with insurers or opening their own payer business units. The mixed results of early...

As data analytics technology becomes increasingly sophisticated, healthcare informatics—the use of data to improve care delivery and patient health— is essential to meeting the goals of hospitals and health systems today. Big data on patient responses to specific clinical interventions can become the basis for development of evidence-based care practices. Sharing of patient data across the care continuum can improve care coordination. Telehealth to connect patients and providers can bolster care access. But leaders must direct the use—and limit the misuse—of data...

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After years of talking about the transition from fee-for-service to value-based payment, most provider organizations are still waiting for the tipping point. Increasingly, the future revenue picture looks like a combination of both payment models, with some revenue...

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