Last year CFA posted a cardiovascular physician-oriented blog entitled “6 Keys to Successful Hospital - Physician Negotiation” (https://www.charlesfrancassociates.com/blog/six-keys-to-successful-negotiation-with-your-hospital.)
CFA Blog 2022
A Cardiovascular Consulting Blog from CFA
In the previous blog post (refer to Rethinking Ambulatory Cardiovascular Strategy: Part One – The Big Picture posted on 4/19/18), I discussed the rationale for the need to reconsider your ambulatory strategy.
From the perspective of the cardiovascular service line administrator, let’s look at example approaches and some real world situations to illustrate these issues.
Sometimes being a California company lulls one into a false perception of normalcy. Because of the State’s years as a highly competitive managed care environment, one tends to think that the rest of the country has experienced similar market pressures and developed similar responses.
In a previous blog, I posted about the new opportunities for hospital cardiovascular programs to seek “whole program” accreditation or certification from outside validating organizations. This blog post looks at the strategy implications of pursuing such accreditation options.
Late last year, the opportunity for hospital cardiovascular (CV) programs to seek “whole program” accreditation or certification from outside validating organizations increased with announcements from both the The Joint Commission (TJC) and the American Heart Association/American College of Cardiology.
Following our posting of the blog announcing the CMS Final Rule ending the proposed Mandatory Cardiac Bundled Payment initiative posted on December 5, 2017, a little over one month later, CMS announced its new voluntary bundled payment model (see CMS Announces New Voluntary Bundled Payment Model for Ten In- and Out-Patient Cardiac Clinical Events, posted January 10, 2018.)
CMS announced on January 9, 2018 a new advanced bundled payment model for 29 inpatient and three outpatient clinical episodes. Included are eight inpatient cardiac episodes and two outpatient cardiac episodes.
2017 – A Look Back
By all accounts 2017 was an exceptionally change-driven year both nationally and on a global scale! Most prominent being the effect of the 2016 election which unleashed a massive convergence of governmental, socio-cultural and business environmental dynamics driving change. As is always the case, this created new challenges and opportunities.
The Centers for Medicare and Medicaid Services in a final rule released Thursday, November 30, 2017, closed the loop on its proposed cancellation of the cardiac bundled payment models.