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Kaufman Hall is committed to providing educational content to support transformational initiatives occurring in the healthcare industry. On this page, you will find our latest thought leadership material. You can also access material by topic category (e.g. Cost Management, Physician Integration) or file type (e.g. Kaufman Hall Report newsletter, Point of View letters) using the pick lists below.

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For assistance accessing material or to request copies of specific publications, please contact Lee Anne Elston at laelston@kaufmanhall.com or 847.441.8780.

Transparency Goes Public

In this April 17, 2014 hfm Blog article, Vice Presidents Andrew Cohen and Jason O’Riordan discuss Castlight Health's initial public offering to demonstrate the increasing adoption of healthcare cost and quality transparency tools. Hospital and health system leaders should be alert to this trend and consider the implications for their organizations.more

Rightsizing Healthcare for a New Era

April 17, 2014 - The rising cost of healthcare continues to threaten our nation’s financial stability. Despite recent slowing in the rate of growth, healthcare spending still stands at 17.4 percent of GDP—48 percent greater than that of the next highest spending developed country. And healthcare spending will be 19.8 percent of GDP by 2020, and 22 percent of GDP by 2038, according to government forecasts. This level of spending is undermining the economy today and is even more ominous for the future. As healthcare spending continues to grow, society will face increasingly unpalatable choices, including further increases in consumers’ out-of-pocket expenses and continued cutbacks in government spending for core services.more

Can Your Hospital Improve its Revenue Cycle?

Hospitals and health systems have the potential to improve their revenues as much as 3 percent to 5 percent through revenue cycle management. Kimberly Neese, a Senior Vice President in Kaufman Hall’s Strategic Cost Management practice, discusses the increasing importance of such initiatives for organizations seeking to manage costs and maximize revenues in preparation for healthcare’s changing business model.more

200d7c4b-8515-4595-ba86-2d8abc647b22_Can Your Hospital Improve Its Revenue Cycle.mp3 Listen  |  Download  the podcast to learn more
Allocating Healthcare Capital in the Reform Environment

The transition to a value-based business model requires significant investments by hospitals and health systems. Jason Sussman, a Managing Director and leader of the firm’s Financial and Capital Planning practices, discusses the need for organizations to rethink how they allocate capital in light of shifting strategic priorities.more

56a0f3f3-f418-4691-9663-5bd377cf3663_Allocating Healthcare Capital in the Reform Environment.mp3 Listen  |  Download  the podcast to learn more
Using Financial Planning to Build and Test a Performance-Based Strategic Portfolio

Hospitals and health systems nationwide need a robust financial planning process more than ever to help them navigate the changing healthcare system. In the April issue of HFMA’s Cost Containment newsletter, Senior Vice President Brian Kelly and Managing Director Jason Sussman discuss how financial planning provides a platform for testing the impacts of various organizational initiatives in order to ensure a sustainable strategic financial plan.more

Changes in Employer-Sponsored Insurance Could Dramatically Alter Hospital Business Fundamentals

Hospitals and health systems nationwide will be challenged by significant changes occurring in the employer-sponsored insurance market. In the Spring 2014 issue of Kaufman Hall Report, Chair Ken Kaufman and Managing Director Mark Grube describe three key trends in this area and advise healthcare executive teams and boards on why they should be alert to the implications for their organizations.more

What Healthcare Providers Should Learn from Intel

March 24, 2014 - For years, Intel has been one of the most admired companies in America. Its market cap is $121 billion, Its chips are in 80 percent of PCs. It has total dominance over a critical vertical market. But there’s a problem: the glory days of the PC are over. Sales have been declining, with the 10 percent decrease in 2013 the worst drop yet. In contrast, smartphone and tablet sales increased 42 percent and 68 percent respectively in 2013. And Intel’s mobile-device market share is a small fraction of its PC market share. How could this happen? How could a dominant firm with a history of strong leadership and market savvy so completely miss a seismic shift in the market? The comparison to healthcare is stark.more

A Strategic Approach to Facilities Provides a Path to Increased Efficiency

Decades focused on increasing bed counts have left many hospitals and health systems with an outsized service distribution system. In this article in the March 2014 issue of HFMA’s CFO Forum, Vice President Jim Medendorp and Senior Vice President Charles Kim address the need for healthcare leaders to take a comprehensive approach to evaluating and planning facilities.more

Funding the Transformation

Rapid changes in the way healthcare is delivered and paid for are causing many hospitals and health systems to reevaluate their financial strength and long-term sustainability. In this article in the February issue of Trustee magazine, Chief Executive Officer and Managing Director Therese Wareham discusses three essential financial considerations that will shape how well organizations adapt to the new business model.more

Independent Partners

An increasing number of hospitals and health systems are entering into partnerships that do not require a change of control. This article in the February 2014 issue of Trustee magazine discusses the legal implications of these "noncontrol transactions." Senior Vice President Patrick Allen co-authored the piece with John Callahan and Stephen Wu of McDermott Will & Emery.more

Evaluating Businesses and Services for Strategic and Financial Alignment

Hospitals and health systems looking to build competencies for the new healthcare era should objectively assess their role in their communities and rethink which services they provide and how, where, and to whom they provide them. In this article in the February 2014 issue of HFMA’s Cost Containment newsletter, Managing Director Kit Kamholz discusses the need for organizations to undertake a comprehensive, analytical process to evaluate all of their businesses and services with the aim of maximizing efficiencies while ensuring alignment with core organizational goals.more

Connecting the Dots

February 13, 2014 - Alan Blinder, Professor of Economics and Public Affairs at Princeton University, has written a compelling book entitled After the Music Stopped: The Financial Crisis, the Response, and the Work Ahead. The book adds significantly to the analysis of the mortgage crisis of 2007 and the subsequent recession of 2008. Toward the end of the book, Professor Blinder focuses on a Congressional Budget Office chart. Reproduced here, the chart looks at federal revenue and spending projections as a percentage of gross domestic product from 2010 through 2090. Understanding this chart is critical.more

Where Have All the Inpatients Gone? A Regional Study With National Implications

Various stakeholders, ranging from private employers and consumers to providers and payers, are working to reshape the nation’s healthcare delivery system while improving quality, outcomes, and patient access. A Kaufman Hall analysis of comprehensive inpatient and outpatient data from the greater Chicago area provides early evidence that these efforts are having an impact in moving the transformation agenda forward. In this February 2014 Point of View letter, Senior Vice President Robert W. York, Chair Kenneth Kaufman, and Managing Director Mark E. Grube share the study results and discuss their broader implications.more

Structuring Effective Physician Compensation Programs

Luke Sullivan, a Vice President with Kaufman Hall's Physician Services team, discusses strategies for developing an optimal physician compensation program and what metrics should be used to gauge productivity and effectiveness.more

0e1d5ffe-2df1-43dc-bf2d-75a201a588f9_Structuring Effective Physician Compensation Programs (Sullivan).mp3 Listen  |  Download  the podcast to learn more
Externalities Turn Negative for Healthcare Providers

January 23, 2014 - For many years, economic externalities—such as the fee-for-service payment structure and a robust economy—positively impacted healthcare providers. General healthcare spending increased year after year, often by significant percentages. Prices rose as well, furnishing providers with significant annual increases in revenue, sometimes even in the face of declining or flat demand for services. This constant external support for revenue meant that providers could often be generous from an operations perspective, allowing costs to rise each year, without weakening margins. But, now the economic externalities that have positively affected providers have recently and dramatically turned negative.more

Cost-per-Case Productivity Measures Improve Organizational Alignment

Rapid changes to the nation’s healthcare system and the transition to value-based care are causing many hospitals and health systems to reevaluate how they measure productivity. In this Jan. 3, 2014 hfm Blog article, Vice President Kristopher Goetz discusses the need to shift from traditional productivity metrics that focus on the quantity of services provided to systems that create incentives to promote quality care.more

Rightsizing Your Regional Service Delivery System

A Senior Vice President in the firm's Strategy practice, Dr. Walter Morrissey describes the components of an effective regional plan for service delivery and how this approach can drive improved cost and quality outcomes.more

a0c70989-bfdf-4195-8101-b8a9a9d8938d_Regional Service Planning (Morrissey).mp3 Listen  |  Download  the podcast to learn more
How Patient-Centered Productivity Measurement Reduces Costs

Hospitals and health systems seeking to reduce costs in preparation for the transition to a value-based care model should consider how productivity is measured within their organizations, and whether those metrics align with true drivers of cost. In the December issue of HFMA’s Cost Containment newsletter, Senior Vice President Brian Channon and Vice President Kristopher Goetz discuss the need for a patient-centric approach to measuring productivity to ensure sustainable cost reduction.more

Keynotes at the 2013 Healthcare Leadership Conference

Kaufman Hall was pleased to have an esteemed group of keynote speakers at the Healthcare Leadership Conference in October. The Winter 2014 issue Kaufman Hall Report summarizes these presentations and the annual rating agency panel.more

Hospitals Redefining Keys to Success in a Changing Industry

To address the challenges of healthcare reform and the transition to a value-based system, many organizations are working to reduce costs, increase efficiencies, and revise the way they deliver care. In this November 2013 hfm Blog, Managing Director and Chief Executive Officer Therese L. Wareham discusses how hospitals, health systems, rating agencies, and other stakeholders are redefining what it takes to achieve long-term organizational sustainability in the new era of healthcare.more

Building Sustainability Through Back-to-Basics Financial Planning

Hospitals and health systems nationwide face an ever-evolving set of challenges as they work to navigate the industry’s transition from volume-based sick care to value-based health care. In this article in the November HFMA CFO Forum, Managing Director Jason Sussman emphasizes the need for organizations to utilize traditional financial planning principles that quantify strategic initiatives and integrate accountability into the annual budget process.more

Rolling Forecasting: A New Budgeting Strategy for More Effective Financial Management

Debra Miller, a Vice President with Kaufman Hall's Software team, discusses an alternative to the annual budgeting process that allows hospitals and health systems to make more accurate operating projections and be more agile in responding to changes.more

2d7edd99-a070-4479-bcb7-a67bb763b7fb_Rolling Forecasting_A New Budgeting Strategy for More Effective Financial Management.mp3 Listen  |  Download  the podcast to learn more
Reducing Non-Labor Costs

Kevin Neuman, a Vice President with Kaufman Hall's Strategic Cost Management practice, discusses strategies for managing the costs of products and services that healthcare organizations use on a daily basis.more

38f2068f-4cb4-44f5-ac49-ee9a141f89c3_Reducing Non-Labor Costs.mp3 Listen  |  Download  the podcast to learn more
How Rolling Forecasting Facilitates Dynamic, Agile Planning

Many hospitals and health systems are seeking an alternative to the annual budgeting process that would allow them to respond more nimbly to shifting market forces. In the November issue of hfm Magazine, Debra Miller of Kaufman Hall, Michael Allen of Gunderson Health System, Stephanie Schnittger of Inova Health System, and Theresa Hackman of PinnacleHealth discuss Rolling Forecasting, which allows organizations to make more accurate operating projections, continuously identify financial performance gaps, and be agile in responding to changes.more

Helping Individuals Obtain Health Coverage Under the ACA

Hospitals around the country will play a significant role in helping uninsured or underinsured individuals obtain health coverage in the new public health insurance exchanges. In this article in the October 2013 issue of hfm, authors Anne McLeod and Amber Kemp with the California Hospital Association, and Jody Hill-Mischel and Andrew Cohen with Kaufman Hall, present eight proven hospital-based outreach and enrollment strategies.more