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FinancePayment Evolution
MSSP Season Is Here! Should You Participate, and if You Participate, Are You Prepared for Downside Risk?
Understanding the timeline: application process starts June 1, 2022 Medicare Shared Savings Program (MSSP) is Medicare’s established accountable care organization (ACO) program that allows for new participants every performance year (PY). To participate in MSSP, an organization must submit an application and be approved by CMS. For PY2023, the application process is as follows: An organ...
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Health Care LandscapePolicyPayment Evolution
Working Toward a New Normal: Insurance Coverage After the Public Health Emergency
Each year Sg2 debuts the latest enrollment projections from our five-year Insurance Coverage Estimates (ICE) demand forecast. The team considers ZIP code level, age, federal poverty level, ethnicity and gender data to meaningfully distribute the population across financial groups. The following national trends were key inputs to the 2023 ICE model. Note: Numbers may not add due to rounding. Sourc...
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Digital HealthAccess Strategy
When Virtual Becomes Vital—A Conversation With Deb Raupers of the Guthrie Clinic
Debra “Deb” Raupers, MSN, RN, is the enterprise chief nurse executive for the Guthrie Clinic, based in Sayre, Pennsylvania. Q: To start us off, can you talk us through your career progression as a nursing professional and how you came to your current role at Guthrie? A: I have been in nursing for over 30 years, and it's been a wonderful career within the Guthrie Healthcare System. I w...
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Payment Evolution
Sustainable Value-Based Care Transformation Needs an Enterprise Approach
Many health care delivery organizations have a difficult time defining what value-based care (VBC) looks like for them. Even more challenging is developing a thoughtful plan around VBC and how that plan complements other enterprise strategic initiatives. Too often VBC plans are created in a vacuum, and as a result, either the implementation becomes a “VBC department initiative” or, eve...
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Health EquityService Lines
Addressing Racial Disparities in Maternal Health
On Tuesday, April 12, 2021, the White House issued a proclamation designating April 11–17 as Black Maternal Health Week. President Biden recognized that Black women experience a maternal mortality rate that is two to three times higher than other demographic groups and that more than 60% of these deaths are preventable. Excess maternal mortality among Black women is multifactorial and calls...
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Enterprise StrategyStrategic Planning
Three Things That May Be Slowing Your Hospital's Progress Toward its Strategic Plan
Editor’s note: Shannon Stewart, Senior Consulting Director, Reliability and Management Systems, authored this post, which was originally published on Sg2’s parent company Vizient Inc’s blog. Hospitals and health systems are investing a lot of resources to thoughtfully and strategically plan how they will meet their communities’ needs in the future. They’re developing ...
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Disruption
From Novice to Prodigy: A Perspective on AI’s Rapid Ascent
Imagine this scenario: a kindergartner—initially grappling with the basics of counting, addition and subtraction—manages to leapfrog several years of curriculum and advance her mathematical capabilities to a fifth grade level within a year. Such a feat would be recognized as a significant achievement. Now suppose the teachers at the school see these results and respond by saying, "Her ...
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Disruption
Disrupter Downfall: Do Legacy Providers Prevail?
Unpacking the recent exits and pivots from disrupters in health care Recent developments have seen numerous disrupters significantly alter their health care strategies or, in some cases, exit the sector entirely. Legacy providers watching from the outside are left feeling vindicated but also curious as to what they can learn from others’ struggles. If giants like Walmart and Walgreens, and ...
Health-Equity-Blog.jpg (Original)
Health Care LandscapeHealth Equity
Health Inequities and the Negative Impacts of Social Determinants of Health
Editor’s note: Consultant Nikita Arora, Associate Consultant Adilene Gavina, Associate Consultant Rheanna Henson and Senior Consultant Maha Madi contributed to this post. Buzzwords are common in health care, and over the past year, social determinants of health (SDOH) and health equity have taken center stage. To better understand how SDOH impact patient outcomes, we need to bette...
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Digital HealthAccess Strategy
Conviction for Change—A Conversation With Maria Toler of SteelSky Ventures
Maria Toler is the founding and managing partner of SteelSky Ventures, based in Atlanta. Q: Let’s start by learning a bit about your background. How did your career path evolve and what led you to start SteelSky Ventures? A: I’m an entrepreneur to my core. I launched my first company, Collegeboxes, as a college student, and it was eventually acquired by U-Haul. That experience c...