How Safe is Your Primary Care Strategy From “Payviders”?

Most health systems have invested heavily in primary care practices in the last decade. The good news is this strategy is paying off. Research shows that primary care providers are key to engaging patients, coordinating care, controlling costs and ensuring the best outcomes. For healthcare organizations, a strong primary care strategy is key to succeeding under value-based care.

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10 Critical Strategies for Primary Care Practice Survival

Owning a primary care practice is tougher than ever — nearly 4,000 primary care practices had to close their doors during covid. That means about 8% of all physicians shuttered their business at least on an interim basis in just the last 12 months, many pertinently.

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LLI and IPMA Press Release 2021

By Doug McKinley | Posted in Insights, News

Virtual Continuing Medical Education conference for physicians and executive leaders set for October

Lumina Leadership Institute (LLI) and Interstate Postgraduate Medical Association’s (IPMA) Ascent Physician Leadership are collaborating to host “Leading for Results: Building a Collaborative Leadership Model,” a virtual Continuing Medical Education (CME) conference for physician and executive leaders on Thursday, Oct. 14, 10 a.m. to 1 p.m. CT.

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Change Management and Conflict Resolution

Healthcare organizations are experiencing change at a rapid pace; hospitals are merging, large medical groups are forming, and clinically integrated networks and integrated delivery networks are acquiring hospitals and physicians.

These business transactions also have a direct effect on the most valuable asset any healthcare organization has: its employees. Although the human side of these transactions is seldom talked about, failing to address employee issues can be expensive in both cost and reputation, and can lead to unresolved conflict.

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Lumina Leadership Institute (LLI) Press Release 2021

By Doug McKinley | Posted in Insights, News

Lumina Health Partners Introduces an Up-Skill Solution for Stressed Healthcare Executives and Physician Leaders

Chicago, IL - Healthcare organizations and hospitals across the country are estimated to lose millions caused in part by unprepared leaders and apparent increasing physician burnout. In response, Lumina Health Partners, a Chicago-based healthcare advisory firm, is launching the Lumina Leadership Institute (LLI) to help healthcare organizations better equip executives and physicians to effectively navigate today’s environment, where strategic objectives in business and clinical areas require stronger, more competent leaders.

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New 2021 Physician Fee Schedule: 3 Things to Do Now

The new CMS 2021 Physician Fee Schedule (PFS) went into effect on January 1, 2021. Most of the final rule consists of expected policy refinements, but the regulations do include some significant changes that will impact medical practice productivity, strategy and revenue.

To take full advantage of the new fee schedule, physicians and medical practice leaders should focus on three immediate priorities:

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Healthcare Revenue Cycle Leaders, It’s Your Move

COVID-19 has decimated fee-for-service (FFS) revenue. To stay in the game, healthcare providers can use a chess-inspired strategy to rebuild the revenue cycle while preparing for value-based care.

The COVID-19 pandemic has triggered major financial losses for hospitals, health systems and medical groups. Healthcare organizations now face the double challenge of rebuilding FFS revenue while continuing to transition toward value-based payment.

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3 Contracting Strategies to Accelerate a COVID-19 Financial Recovery

While U.S. providers have suffered profound financial losses because of COVID-19, health insurance companies have actually benefited from the pandemic. Providers require effective strategies to achieve a more equitable balance.

Healthcare utilization has dropped sharply as a result of COVID-19, causing most hospitals to experience a major drop in revenue and margin. But for most commercial payers, lower utilization has slashed claims expenses and created a  huge financial windfall.

For example, United  Healthcare’s net income doubled during the first  wave of the pandemic, jumping from $3.3 billion  (2019 Q2) to $6.6 billion (2020 Q2).a 

Although these market dynamics clearly seem unfair to providers, there is no reason  that providers should simply accept the status  quo. As they struggle to recover financially from COVID-19, hospitals and health systems should  not hesitate to look to insurers to share their  excessive surpluses. 

Right now, the biggest potential opportunities for providers are in contracting with insurers. Financial leaders should focus on three broad areas where they should seek to renegotiate existing contracts and lay the groundwork  for beneficial new partnerships. 

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Turning Conflict into Collaboration: How to Manage Workplace Disagreements

As their organizations make major adjustments to operations, healthcare leaders should be prepared for increased levels of workplace conflict. Fortunately, taking the right approach can turn a conflict into an impetus for positive change.

Healthcare organizations are experiencing change at a rapid pace as technological innovations and alternative payment models greatly impact operations — and people. As a leader, you can expect these changes to create workplace conflict. But you also should be assured that you can manage this conflict, and make it a productive rather than disruptive force, by using the following approaches.

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How to Plan For and Profitably Operate Telehealth Services

“By failing to prepare, you are preparing to fail.” ― Benjamin Franklin

The COVID-19 pandemic has forced every industry to rethink how they do business — and the healthcare industry is one of the most heavily impacted. In this ever-changing set of circumstances, providers are challenged to determine the best way to adapt the delivery of care.

One tool they increasingly are turning to is telehealth services.

The appeal of telehealth right now is obvious. Patients appreciate being able to receive healthcare without risking exposure, while physicians appreciate being able to provide safe and convenient care.

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