Accounting & Financial Management
HIMSS21
Total hip and knee replacement bundles from CMS spurred the risk-bearing system to seek a new way to maximize savings.
Elevated health system utilization will likely lead to increasing costs and higher insurance premiums for years to come.
The effort is led by CEO Michael Dowling, Dr. Chethan Sathya of Northwell Health and Dr. Joseph Sakran of Johns Hopkins Hospital.
Capitation sets direct contracting apart from other models. While there are wrinkles to be ironed out, payers and providers are onboard.
While revenues are down year-over-year, they still surpassed Wall Street's expectations.
The numbers indicate the severity of the pandemic is waning, both in terms of virus transmission and hospitals' financial health.
The moderation is especially notable as it comes against the backdrop of rapidly accelerating economy-wide prices.
The pandemic has only made the trend worse, as 33% of hospital executives report average claims denial rates of 10% or more.
The firm will boast a technological backbone that's designed to support an array of platforms that reduce costs and accelerate care.
New reporting requirements expand the amount of time providers will have to report information and extend PRF payment deadlines.