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Revenue Benchmarking and Market Analysis for Hospitals
October 2012
In This Issue
Are You Ready for Health Exchanges to Impact Your Revenue?
Reinventing Your Business Model
A Pioneer ACO One Year Later
PDS University
Are You Ready for Health Exchanges to Impact Your Revenue?
Ken Steele

    Ken Steele 

ECG Management Consultants 

 

Looming behind the initial phase of reform initiatives is the introduction of state health exchanges. There
are many public misconceptions about health exchanges, and some states were previously reluctant to
develop them because of the uncertainty around the potential repeal of the Patient Protection and
Affordable Care Act (PPACA). Health exchanges are intended to increase competition and choice by
providing transparency on price, coverage, and quality-of-care information for small businesses and
individuals who need to purchase insurance. Despite the potential advantages for patients, health
exchanges can have negative consequences for providers. Many forward-thinking organizations are
evaluating the introduction of health exchanges in their markets to understand the potential impact and
prepare a suitable strategic response.


Your organization can successfully integrate health exchange-based patients into your managed care
contracts through focused preparation and planning. Read how in this article.   


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Reinventing Your Business Model
Jim Barber

When Apple introduced the iPod and iTunes in 2003, they were not the first to bring digital music players to the market, yet they revolutionized portable entertainment.  Apple did something far smarter  than take a good technology and wrap it in a snazzy design. It took a good technology and wrapped it in a great business model. Apple's true innovation was to make downloading digital music easy and convenient. To do that, the company built a groundbreaking business model that combined hardware, software, and service.      

 

Business model innovations have reshaped entire industries and redistributed billions of dollars of value. Retail discounters such as Wal-Mart and Target, which entered the market with pioneering business models, now account for 75% of the total valuation of the retail sector. Low-cost U.S. airlines grew from a blip on the radar screen to 55% of the market value of all carriers.  And now hospitals and physicians are being called to reinvent how they provide care.  This Harvard Business Review article discusses why leaders across industries are embracing business model reinvention and are excited about what it can bring.   Read the article 

 

In continued partnership,

Jim Barber
Chairman & CEO, PDS
President & CEO, HASC

 
"Change before you have to." -- Jack Welch

HASC logo  

A Pioneer ACO One Year Later: Q & A With Presbyterian Pioneer ACO's Tracy Brewer
Presbyterian Healthcare Services in Albuquerque, N.M., is one of the 32 organizations that was chosen by the CMS Innovation Center to participate in the Pioneer accountable care organization program in December 2011. Now, nearly a year later, Presbyterian is in the thick of updating its IT infrastructure and educating the new members of its ACO.

Tracy Brewer is the lead project manager of Presbyterian Healthcare Services' ACO and has been involved in the process of becoming an ACO from the very beginning - she assisted with Presbyterian's Pioneer application. Here, she reviews the organization's first year as one of the first ACOs and shares some tips for success.

 Read more in this Becker's Hospital Review article.
PDS University -
Using PDS data in Your Business Model Strategy

    

In this 20 minute interactive webinar we will look at ways that you can use PDS data to help prepare your strategy fpeople meetingor new business models - from physician alignment to ACOs to P4P.   

Date:     October 31st
Time:   11:00 a.m. PDT
Register:   click here
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What We Offer 
PDS is a web-based revenue benchmarking tool used by hospitals to optimize revenue.  This database of paid claims delivers the market intelligence hospitals need for: 


     -  Effective managed care contract negotiations 

     -  Accurate forecasting of business development opportunities 

     -  Data driven strategic planning   

 

 PDS offers free educational webinars to our customers, as well as one-on-one training and custom reports to help you maximize results.   Learn More