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MACRA Proposed Rule for the 2018 Quality Payment Program (QPP) The Centers for Medicare & Medicaid Services recently issued the proposed rule for the 2018 year of the Quality Payment Program (QPP). Included are several provisions that ease the burden on clinicians transitioning into the program, and widen the criteria for exemption from the program. The proposed adjustments come in response to a deluge of concerns over the first approved version of the Medicare Access and CHIP Reauthorization Act (MACRA) from many medical groups, industry organizations and coalitions. In this briefing we examine the rule sharing key takeaways and implications for providers.

Establishing Academic Health System Clinical Scale Goals and Strategies Many an academic health system (AHS) has grappled with the scale required to remain successful as markets consolidate and care migrates toward population-driven models. Determining “How many lives are needed?” is complex because it crosses different strategic and mission-related dimensions and should be driven by each system’s academic, clinical program and population health goals. Pursuing a course of action without first addressing what the AHS is seeking to achieve puts the organization at risk of not meeting or overshooting its targets. In this paper, we share a framework with real-life examples both academic and non-academic systems can use to define their goals for the number of lives needed to sustain their missions.

Performance Transformation: An Undeniable Requirement in Uncertain Times While uncertainty permeates the healthcare landscape due to the current political climate and potential regulatory and reimbursement changes, provider organizations across the country agree that a focus on performance is essential under any future market scenario. To meet the requirements of the current and future market, high-performing organizations must realize and sustain levels of clinical, operational and financial performance that transcend those previously conceived of and achieved. During this time, many organizations are going “back to basics” to more sustainably address longstanding, foundational issues associated with access, cost, quality and the patient experience. At the same time, those that have made more significant progress or feel they have exhausted traditional means are seeking the next frontier in improving performance.

Is Your Medical Group Hitting the Mark? Medical groups are the linchpin of hospital and health system operations, the core of the clinical enterprise, and the indispensable driver of success. With increasing size, scale and scope, today’s medical groups wield greater impact on healthcare delivery and performance than ever before. Leading health systems recognize that medical group capabilities and leadership are critical to transforming care delivery and cost structure in an environment of shrinking revenue and increased risk. Across the country, effective physician-health system partnerships are achieving remarkable results in clinical outcomes, cost management, access and capacity, and patient and provider experience — and are positioning themselves for success in an increasingly cost-sensitive and value-based market. Only by optimizing medical group clinical, financial and operational performance, and fostering aligned, committed and accountable physician leadership, can health systems and physicians together address the complexities and challenges facing today’s healthcare providers.

In this white paper, we highlight the characteristics of a successful medical group while providing actionable steps to assess your group's current performance and develop a focused approach for improvement.

The Impact of the American Health Care Act on Children’s Hospitals: Preparing for the Road Ahead Throughout his campaign and early administration, President Trump has promised to repeal “Obamacare.” Now, 105 days into his term, he is one step closer to dismantling the Affordable Care Act (ACA) with the passage of the American Health Care Act (AHCA) by the House last week. While there are still many unknowns for the next wave of healthcare reform, decreased funding for Medicaid will be a core component. To date, little discussion has occurred about the impact of the potential spending cuts and programmatic changes on pediatric care.

The underlying premise of the reductions would be to roll back Medicaid expansion and reduce spending on newly insured adults who previously did not have insurance – without any specific eligibility implications for children. However, the sheer magnitude of expected funding cuts, coupled with the shift in responsibility to states that will exhibit variability in how they respond, increase the likelihood of consequences for children who need care. For children’s hospitals, who disproportionately serve children in need of care, there are a handful of options for how to react to the likely changes ahead.

In this paper, we discuss the implications of the AHCA on children’s hospitals and what they can do to prepare for the road ahead.

Partnership Spotlight: Metro Health and Michigan Medicine The Chartis Group assisted Michigan Medicine in the creation of its long-range clinical network strategic plan. Development of a statewide delivery network was a key objective identified through that process. The plan envisioned a variety of relationships that would enhance Michigan Medicine’s impact across all elements of its tripartite mission. Shortly after the plan’s formulation, Michigan Medicine had the opportunity to engage in affiliation discussions with Metro Health.

On the Frontline

Partnership Spotlight

Lawrence + Memorial Healthcare and Yale New Haven Health System

The Chartis Group (Chartis) was engaged by the Board of Trustees of L+M to serve as its strategic advisor in developing a regional affiliation strategy which was unanimously approved by the L+M board. in July of 2015

Improving the Value of Research Investments

Case Study - Emory University

Academic health centers (AHCs) are working to overturn one of the final stones in improving efficiency and advancing care management performance – how funds are used for academic operating costs and strategic investments. But, in an era where hospital CFOs are examining costs on a granular level, executives are questioning how their financial support for research is actually being spent and whether those dollars are effectively invested to maximize benefit to the organization. Emory University School of Medicine has taken the next step in tackling these questions and designing a new model to optimize resources invested in the research mission.

In The News

  • Obamacare Repeal Could Cripple Rural Hospitals and Lead to More Closures
  • Chartis Elects Eight Partners to Leadership Team
  • Modern Healthcare Recognizes The Chartis Group as a Best Place to Work
  • Trumpcare Hits Children's Hospitals Hard

Obamacare Repeal Could Cripple Rural Hospitals and Lead to More Closures

A reduction in Medicaid reimbursement could have profound effects on rural hospitals.

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The Chartis Group Elects Eight Partners to their Leadership Team

The Chartis Group is proud to announce the election of eight Partners to firm leadership. Each has established himself or herself as an industry thought leader and has made significant contributions in the field of healthcare delivery.

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The Chartis Group Named One of the Best Places to Work in Healthcare for 2017

The Chartis Group has been selected by Modern Healthcare as one of the 2017 Best Places to Work in Healthcare. The complete list of this year’s 100 winners, in alphabetical order, is available here.

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Trumpcare Hits Children's Hospitals Hard

The nation’s children’s hospitals may see a harsh reduction in funding and reduced care for their patients should the American Health Care Act, also known as Trumpcare, replace the Affordable Care Act, new analyses show. "While only approximately one-fifth of Medicaid spending is for children, about half of Medicaid and CHIP [Children’s Health Insurance Program] enrollees are children, even following Medicaid expansion for lower-income adults in many states,” a new report from the Chartis Group says.

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