Todd. Wecker’s Post

As highlighted in the Modern Healthcare article below, last week showcased an emerging bipartisan effort against the growing trend of healthcare consolidation in the U.S. healthcare system. Politicians from both sides of the aisle voiced concerns about the impact of continued healthcare mergers and acquisition activity on smaller providers and patient care. While concrete policy solutions were limited, recommendations were made to safeguard smaller providers, such as enhanced FTC/Justice Department engagement in merger activity and the expansion of site-neutral payment policies. As election season heats up, stay connected with Crowe as we continue to track the ongoing healthcare dialogue. #Healthcare

Private equity got excited about value-based care in the waning days of the pandemic, and now it's time make good on the promise of better, cost-effective, integrated care. But in a highly inflationary environment, that is proving tough. Between elevated claims expense, operating costs, and other SG&A, providers need to finesse their footprint, payor contract negotiations, MRA scores, and operational model to deliver the "value" in VBC. Done well, both the patient and their primary-care practice will benefit. My colleague Colin Dmochowski and I outline 5 steps operators can take to improve cost - read the full article here:

Private equity got excited about value-based care in the waning days of the pandemic, and now it's time make good on the promise of better, cost-effective, integrated care. But in a highly inflationary environment, that is proving tough. Between elevated claims expense, operating costs, and other SG&A, providers need to finesse their footprint, payor contract negotiations, MRA scores, and operational model to deliver the "value" in VBC. Done well, both the patient and their primary-care practice will benefit. Our experts Jerry Wang and Colin Dmochowski outline 5 steps operators can take to improve cost - read the full article here:

Private equity got excited about value-based care in the waning days of the pandemic, and now it's time make good on the promise of better, cost-effective, integrated care. But in a highly inflationary environment, that is proving tough. Between elevated claims expense, operating costs, and other SG&A, providers need to finesse their footprint, payor contract negotiations, MRA scores, and operational model to deliver the "value" in VBC. Done well, both the patient and their primary-care practice will benefit. Our experts Jerry Wang and Colin Dmochowski outline 5 steps operators can take to improve cost - read the full article here:

Private equity got excited about value-based care in the waning days of the pandemic, and now it's time make good on the promise of better, cost-effective, integrated care. But in a highly inflationary environment, that is proving tough. Between elevated claims expense, operating costs, and other SG&A, providers need to finesse their footprint, payor contract negotiations, MRA scores, and operational model to deliver the "value" in VBC. Done well, both the patient and their primary-care practice will benefit. Our experts Jerry Wang and Colin Dmochowski outline 5 steps operators can take to improve cost - read the full article here:

Private equity got excited about value-based care in the waning days of the pandemic, and now it's time make good on the promise of better, cost-effective, integrated care. But in a highly inflationary environment, that is proving tough. Between elevated claims expense, operating costs, and other SG&A, providers need to finesse their footprint, payor contract negotiations, MRA scores, and operational model to deliver the "value" in VBC. Done well, both the patient and their primary-care practice will benefit. Our experts Jerry Wang and Colin Dmochowski outline 5 steps operators can take to improve cost - read the full article here:

Are You Prepared for Medicare Advantage Market Upheavals? Market disruptions are neither new nor a thing of the past; they are here to stay and costly if you’re not equipped with a thorough response plan to protect patient relationships. Health plan contract terminations, plan pullouts, mergers, and acquisitions threaten your Medicare patient base. Retaining patients requires smart planning, ongoing patient engagement, a systemwide commitment, and a focused communications strategy. Mobilizing with speed and an ability to pivot if the insurer pulls a surprise, can make a difference in smooth patient/plan transitions while minimizing administrative hassles and market share loss. MedicareCompareUSA and its consulting division—MCUSA Communications—have helped hundreds of hospitals and medical groups around the country successfully tackle such upheavals; and we can assist you, too. We have the track record of helping navigate changes in MA network participation and can help you provide patients with clear and compliant Medicare information. We’re the nation's leader in helping healthcare organizations prepare, implement, and achieve Medicare strategies geared toward Medicare population management, retention, and growth. We're here to help. Contact us today. https://lnkd.in/gFSrDQKf

After reading the article it got me thinking - A Glass-Steagall-like act for healthcare could transform the industry, driving down costs and enhancing care quality by dismantling monopolistic structures, fostering competition, and prioritizing patient interests over corporate profits. 💥 Reduced Conflicts of Interest: Legal separation of insurers from providers and pharmacies to lower costs and increase transparency. 💥 Enhanced Competition: Increased market competition could improve services and innovation as companies compete on care quality and cost. 💥 Improved Patient Care and Choice: More provider options and independence could enhance care quality and patient satisfaction. 💥 Increased Regulatory Oversight: More stringent oversight to ensure compliance with separation mandates, possibly leading to the creation of new regulatory bodies. 💥 Potential Short-Term Disruption: Initial disruptions as companies restructure to comply with new regulations, possibly affecting service continuity. 💥 Economic Impact on Providers: Mixed effects on healthcare providers, with some benefiting from less competition and others potentially struggling without large system support. What do you think? do we need it?

🚨 Exciting News for Healthcare Providers! 🚨 We've partnered with Radix Health to simplify payor contracting and out-of-network reimbursements. Together, we’re delivering a holistic solution that: ✅ Streamlines contract negotiations and claim reimbursements. ✅ Maximizes revenue with predictable results. ✅ Reduces administrative burden and risk. This partnership empowers providers to focus on what they do best – patient care – while navigating today’s challenging reimbursement landscape. 💡 Learn more in our press release out today: http://bit.ly/42xQnj1 #healthcare #reimbursement #NoSurprisesAct

Financial distress, value-based care, and digital healthcare services are several factors driving a potential increase in healthcare deals. Our Americas CRO, Mark Williams, shares his thoughts with Chief Healthcare Executive. #wheredealsaremade #finance #healthcare