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Revenue Benchmarking and Market Analysis for Hospitals
December 2012
In This Issue
PDS Can Help You Get Ready for Health Benefit Exchanges
Deal Making 2.0: A Guide to Complex Negotiations
A Pioneer ACO One Year Later
PDS Can Help You Get Ready for Health Benefit Exchanges
 

  Leslie Gold

              Leslie Gold, PDS

 
The California Health Benefits Exchange will be live on January 1, 2014.  According to the state's website, "The vision of the California Health Benefit Exchange is to improve the health of all Californians by assuring their access to affordable, high quality care. The mission of the California Health Benefit Exchange is to increase the number of insured Californians, improve health care quality, lower costs, and reduce health disparities through an innovative, competitive marketplace that empowers consumers to choose the health plan and providers that give them the best value."

 

The health plans are already beginning to negotiate with providers.  In order to be selected as an Exchange provider and to be competitive in the marketplace, providers will need to reduce costs wherever they can.  They need to develop and maintain a reputable provider network that is attractive to consumers.  Can you demonstrate your value?  Are you ready?

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Deal Making 2.0: A Guide to Complex Negotiations
Jim Barber

As hospitals settle into the reality of healthcare reform, now is the perfect time for management to hone their negotiations skills.   Whether the negotiations are with payers for better rates or favorable health exchange position, with physicians for accountable care organizations or other business partnerships, or with employees to get everyone on board to improve customer satisfaction, negotiations are an important part of the changing healthcare environment.

 

This Harvard Business Review article discusses how deals are the culmination of many focused negotiations among various parties, and how to put these varied pieces together .   Read the article 

 

In continued partnership,

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

 
"Let us never negotiate out of fear. But let us never fear to negotiate." -- John F. Kennedy

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5 Surprising Benefits Health Insurance Exchanges May Have on Health Systems
In August, MX.com surveyed approximately 1,000 health system executives and found that nearly two-thirds - 62 percent - were either uncertain or held a negative view about health insurance exchanges and their impact on health systems. In the haze of health reform legislation, it is clear that a majority of senior executives have
 yet to see the promise that health insurance exchanges  may offer to health systems.  

Given the challenges that senior health system leaders face, Joe Davis has outlined five potential benefits that may not be immediately obvious in this Becker's Hospital Review article.  Read the article.
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As we prepare our 2013 schedule, we want to hear about the kind of webinars that you would like to see.  Our goal is to keep each webinar to 20 minutes, so it is easy to fit into your day.  Wha t would you like see us discuss:   The nitty gritty about using the PDS system?   How to use data in general?  How to tie in data from different sources to paint a big picture?  How data can prepare you for legislative changes?  Let us know your thoughts.  Click here to email us.
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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