Join Dan Marino in Episode 103 as he sits down with Damon Morse, an expert in payer rate analyses, to discuss the challenges healthcare providers face with payer contract negotiations, and the strategies required to level discussions. Gain insights into how thorough analysis and strategic positioning can ensure fair reimbursement for provider organizations and support organizational growth. https://hubs.li/Q02yyrbt0 #VBCInsights #Populationhealth #Riskbasedcare #Accountablecareorganizations #ACOs #healthcareleaders
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Join Dan Marino in Episode 106 as he sits down with Tim Hanners and Dr. Dave Lebec where they address anesthesia challenges and explore best practice approaches in working with employed and independent anesthesia groups. The discussion explores ways to improve financial performance by enhancing anesthesia outcomes, optimizing staffing models, and managing reimbursement from payers. Check out https://hubs.li/Q02FHBw-0 #VBCInsights #Populationhealth #Riskbasedcare #Accountablecareorganizations #ACOs #healthcareleaders
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Join Daniel J. Marino, Tim Hanners, and David Lebec, MD, MHCM on Value-Based Care Insights as they tackle financial challenges in anesthesia services, exploring best practices to improve outcomes, optimize staffing, and manage reimbursement. Catch it on Healthcare Now Radio, M-F at 9am, 1pm, and 5pm, for key strategies to enhance your anesthesia department’s financial performance. https://lnkd.in/g7VP4Se #ValueBasedCare #Healthcare #AnesthesiaServices #Podcast Carol Flagg
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The national shortage of radiologists is creating significant challenges for hospitals, leading to delays in diagnosis and extended patient stays. Hospitals are exploring various coverage models, including local, national, hybrid, and employed groups, to ensure adequate radiology services. By partnering with expert consultants like Lumina Health Partners, hospitals can find tailored solutions to enhance their radiology coverage and improve patient care. Read more about developing optimal radiology coverage in our recent blog, 'Ensuring Your Hospital Has Optimal Radiology Coverage' here: https://hubs.li/Q02DtlLR0 #RadiologyCoverage #HealthcareSolutions #PatientCare
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Facing a critical anesthesia provider shortage, healthcare facilities are struggling to maintain surgical schedules and quality care. Our latest blog, "Navigating the Anesthesia Shortage with Smarter Strategies," explores strategies like competitive compensation and fostering a supportive work environment to attract and retain anesthesia talent. Discover how innovative approaches can help your organization navigate these challenges here: https://hubs.li/Q02D2sPb0 #Healthcare #AnesthesiaShortage #MedicalStaffing #HealthcareLeadership
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Join Dan Marino in Episode 105 as he sits down with Ericka Adler, a seasoned attorney and manager at Roetzel & Andress, as she explores the current trends in private equity and their implications on physicians and healthcare systems. Gain insights into physician employment models, the regulatory landscape, and effective strategies for healthcare transactions. https://hubs.li/Q02C-W660 #VBCInsights #Populationhealth #Riskbasedcare #Accountablecareorganizations #ACOs #healthcareleaders
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In our latest blog article, 'The Changing Face of Anesthesia Employment Models' we discuss how hospitals have traditionally outsourced their anesthesia services to independent groups and are now looking to make a change. Given the financial pressures placed on hospitals and the recent FTC ruling on banning non-compete clauses, many hospitals are now looking to employ their anesthesiologist providers, providing stronger partnerships, aligned financial incentives and improved patient care. Hospitals that have employed their anesthesia providers are realizing lower overall costs with higher surgical performance and provider satisfaction. Read more in our blog here: https://hubs.li/Q02C5LcN0 #AnesthesiaServices #AnesthesiaEmploymentModels
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Join Dan Marino in Episode 104 as he sits down with SueEllen Carroll, Managing Director at AArete, and Darren Ghanayem, a seasoned expert in healthcare and IT. SueEllen and Darren share their insights on building trust between payers and providers, along with strategies for improving the overall relationship. Gain insights into fostering payer-provider contract collaboration, improving patient care, and reducing the administrative burden often associated with Medicare Advantage contracts. https://hubs.li/Q02B54KN0 #VBCInsights #Populationhealth #Riskbasedcare #Accountablecareorganizations #ACOs #healthcareleaders
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Managing Partner at Lumina Health Partners and the Lumina Leadership Institute: Guiding Transformation Strategies for Healthcare Organizations; Host of Value-Based Care Insight Radio/Podcast Show
Many #hospitals and #healthsystems face difficulties in managing rising anesthesia costs and securing #anesthesia coverage to meet their surgical demands. These challenges are largely due to the national shortage of anesthesia providers. In our collaborations with hospitals and health systems across the country, we have identified approaches to establishing the appropriate clinical and business structures that enable providers to enhance the overall financial performance of their hospital’s surgical services. At Lumina Health Partners, we developed an economic model for anesthesia services that focuses on four key components: - Market rate reimbursement – optimal contracted anesthesia rates are set at the 75th percentile of the local/regional market - Revenue cycle performance – revenue cycle activities produce a 95 percent net collection rate, along with a denial rate below five percent - Anesthesia perioperative performance – Anesthesia providers produce above the 90th percentile and achieve “better-performing” surgical services outcomes - Incentive based stipend –Hospital subsidies support optimal coverage and retain high-performing anesthesia leaders Through collaboration between hospital leadership and anesthesia providers, staffing challenges can be minimized, financial performance can be enhanced, and patients' surgical needs can be effectively addressed. If your organization is facing any of these anesthesia challenges, schedule a call with our anesthesia consultants to explore how we can best support you and your organization. A brief consultation could offer the greatest return on investment for your organization! #luminahp, #anesthesia, #ASA, #HFMA, #AANA, #hospitalleadership
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Managing Partner at Lumina Health Partners and the Lumina Leadership Institute: Guiding Transformation Strategies for Healthcare Organizations; Host of Value-Based Care Insight Radio/Podcast Show
Many provider organizations feel like they are at a big disadvantage when negotiating #managedcare contracts with payers. The keys to an important contract negotiation are to have a payer strategy that ensures the initial “ask” is fair, fee schedules supporting the evolving clinical services offered by the provider, and the administrative terms remaining current and manageable. As a start, many provider organizations must understand where their fee structure is compared to commercial rates in their market. Going through a market rate analysis helps inform leaders on their market pricing model and also its impact on the employers in the communities they serve. In our next episode of Value-Based Care Insights, I am joined by Damon Morse where we discuss the importance of conducting a market rate analysis in preparation for contract negotiations with payers. We also discuss how this information will benefit a provider’s payer strategy, market pricing model and place the providers on a more level playing field with payers. Please listen in to this great episode and send your thoughts. https://hubs.li/Q02yyrbt0 #Luminahp, #HFMA, #managedcare, #riskbasedcontact, #hospitalleaders, #VBCInsights
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