Author: John Fryer

Provider Networks and Risk: Network Curation via Direct Contracting

December 15, 2021 | By and

For over a decade now, the Centers for Medicare and Medicaid Innovations (CMMI) has advanced their risk-based Medicare programs to delegate more financial accountability to providers. The ability to curate a network to fit the financial parameters of this program make the evaluation of this opportunity different than anything we have seen in the past. (…)


CMS Innovation Center Strategic Refresh Emphasizes Value-based Payment Models and Health Equity

October 24, 2021 | By and

John Fryer, SVP and Head of Market and Rick Goddard, Sr. Director, Market Strategy Last week the Center for Medicare and Medicaid Innovation (CMMI) introduced their strategic refresh “Putting All Patients at the Center of Care” to support broader, more equitable, and outcome-based healthcare delivery transformation while streamlining current and future payment models.    Since its inception in 2010 as a (…)


The Future of Alternative Payment Models in Healthcare: A Strategic Perspective

November 3, 2020 | By and

John Fryer, Senior Vice President and Head of Market Paul Keckley, Managing Editor of The Keckley Report and industry expert*   Rising Healthcare Costs and the Shift to Value In healthcare, no topic has drawn more attention among providers, payers and policymakers than health spending. In 2019, total health spending reached a staggering $3.8 trillion. (…)


The Transition to Value is Accelerating

September 29, 2020 | By and

John Fryer, Vice President and Head of Market Paul Keckley, Managing Editor of The Keckley Report and industry expert* As healthcare faces unprecedented challenges in light of COVID-19, it is clear that the industry must prepare for short- and long-term changes as the industry emerges from the pandemic. In particular, the need to move away (…)


Innovating in Time of Uncertainty: Revenue Model Diversification with Direct Contracting

June 30, 2020 | By

John Fryer, Vice President, Lumeris The Healthcare Dollar Challenge During COVID-19 As healthcare organizations move beyond crisis response and begin plotting their recovery path, the need for health systems to transform has jumped to the forefront of the national dialogue. COVID-19 highlighted the best and worst parts of our unique delivery system and will forever (…)


Innovating in Times of Uncertainty: Predictions for a Post-COVID-19 Healthcare System

June 2, 2020 | By

John Fryer, Vice President, Market Strategy & Growth The COVID-19 pandemic is disrupting the current healthcare industry in unprecedented ways. How can health systems prepare for the future, developing strategies for the short, medium and long-term? The excerpt below highlights several key areas where healthcare will likely need to change as the industry adjusts to (…)


Creating Value through Clinical Integration

August 27, 2019 | By

I’m protected! I’ve amassed a massive “clinically integrated” group of physicians and provider entities! As one of the central strategic initiatives of nearly every hospital and health system today, physician alignment has captured the minds, time, and attention of healthcare executives around the country. The healthcare industry has evolved—new entrants, massive consolidation, and payment reform (…)


Mapping the Financial Journey for Health Systems

April 18, 2019 | By , , and

Health system executives understand the move to value-based care is here. But accepting that reality doesn’t answer their questions about when and how to transition from a business model based on fee-for-service payment to one based on payment for value—without degrading their organizations’ financials. To help answer those questions, we analyzed a large regional health (…)


How a Hospital or Health System Can Assess the Risk of Moving to Value-Based Payment

March 29, 2019 | By , , and

Health systems considering a strategic move away from the traditional fee-for-service (FFS) payment model to value-based payment approach can benefit from modeling the risks and likely effects of such a move. Health systems across the country are struggling to maintain their overall profitability and operating margins. Organization leaders realize they must take a hard look (…)


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