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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

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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

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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

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2014 Speaking Topics

This document provides brief descriptions of the topics that Kaufman Hall executives are addressing at industry conferences and webinars in 2014.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

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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

Minding the Gap: Financial Planning to Drive the Volume-to-Value Transition

This is a recording of the 2013 Healthcare Leadership Conference presentation given by Managing Director Jason Sussman and Senior Vice President Charles Kim discussing how effective financial planning and modeling can help hospitals and health systems determine the appropriate evolutionary path toward value-based payment and delivery.more

Evaluating Potential Partnerships: An Integrated Strategic-Financial Approach

This is a recording of the 2013 Healthcare Leadership Conference presentation given by Vice Presidents Nora Kelly and John Poziemski discussing the process that hospitals and health systems have followed to assess their organization's competitive position and the need to explore a partnership to ensure success moving forward.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

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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

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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

Anticipating the Impacts of Health Insurance Exchanges

The public health insurance exchanges and growth of private exchanges have the potential to significantly alter hospitals' and health systems' patient populations and payer mix, presenting challenges and opportunities related to revenue and market share. In this October hfm Blog article, Senior Vice President Charles Kim, Vice President Andrew Cohen, and Assistant Vice President Jason O’Riordan discuss the need for healthcare leaders to be proactive in conducting a thorough analysis of the potential impacts and developing an exchange strategy for their organization to address those changes.more

Three Often Overlooked Ways to Reduce Costs

Reducing costs is a major priority for hospitals and health systems around the country. Many have trimmed operating expenses in key areas, but found that it simply is not enough. In the October 2013 issue of the HFMA Cost Containment newsletter, Senior Vice President Brian Channon outlines three often overlooked ways to establish an effective long-term cost reduction program.more

Introducing Strategic Cost Advisor: Helping Hospitals and Health Systems Achieve Their Cost Reduction Goals

Strategic Cost Advisor provides hospitals and health systems with an effective, easy-to-use set of software tools designed to help achieve short- and long-term performance goals. Using Strategic Cost Advisor, organizations can identify potential efficiencies related to both labor and non-labor costs. The focus is on strengthening planning and execution to help organizations produce desired results, and to create a lasting impact across the organization.more

What It Takes to Establish a Sustainable Physician Compensation Program

As the number of physicians seeking employment continues to increase, the structure and ongoing management of physician compensation are critical for hospitals and health systems to ensure successful physician engagement and overall organizational financial performance. In this September hfm Blog article, Vice President Todd Fitz discusses steps that healthcare leaders must take to develop a sustainable physician compensation model.more

Health Insurance Exchanges: What's Your Strategy?

In the lead article to the Fall 2013 Kaufman Hall Report, Vice President Andrew S. Cohen, Senior Vice President Charles Kim, Assistant Vice President Jason O’Riordan, and Managing Director James J. Pizzo discuss the need for hospitals and health systems to prepare for the potential shifts in patient population and payer mix they may experience with the implementation of public health insurance exchanges in 2014 and continued expansion of private health insurance exchanges.more

Market Fluctuations and Municipal Financial Troubles Signal Need to Remain Vigilant

The healthcare financing market has undergone a significant shift over the last several months as the market has coped with a variety of forces, such as Detroit’s July 18 bankruptcy filing and efforts to anticipate the actions of the Federal Reserve Board. In the September issue of HFMA’s CFO Forum, Managing Director Eric Jordahl discusses the implications of recent market volatility for hospitals and health systems.more

Health Systems Must Rationalize Their Service Distribution to Achieve Sustainable Costs

Unsustainable healthcare costs are driving hospitals and healthcare systems nationwide to seek ways of providing more efficient, effective, accessible, and affordable care. To achieve the level of operating performance needed for long-term success, organizations must right size the distribution of businesses and services they own across their geographic markets. In this August 2013 Kaufman Hall Point of View letter, Managing Director Mark E. Grube, Senior Vice President Walter W. Morrissey, M.D., and Vice President Chirag Patel offer four core principles to guide organizations toward success in service distribution optimization planning and implementation.more

Healthcare Insurance Exchanges: What's Your Strategy?

The advent of public and private healthcare insurance exchanges is accelerating healthcare's transition to a value-based business model. Andrew Cohen, a Vice President in Kaufman Hall's Strategic Advisory practice, discusses hospital readiness for the exchanges.more

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Mergers of Equals Are Reshaping U.S. Healthcare

Managing Director Jim Blake sees the merger of equals as one especially important partnership model that deserves attention within the current surge of hospital and health system consolidations. He discusses the changing landscape of healthcare mergers and acquisitions.more

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A Primer on Value-Based Contracting: Part 2

The transition to value-based care poses new challenges for hospitals and health systems, with significant upside and downside strategic, operational, and financial implications. Organizations should be proactive and move toward performance-based risk arrangements, but avoid taking on more risk than they are prepared to accept. In Part 2 of a two-part webinar series, recorded on August 27, 2013, Carlos Bohorquez and Debra Ryan discuss evaluating a specific value-based contract and the "must haves" for successful implementation.more

Using the Tiered Liquidity Process to Manage Organizational Risk

Hospitals and health systems around the country face increased organizational risk due to the increasing volatility of the evolving healthcare industry. In the latest hfm Blog, Managing Director Eric Jordahl discusses how the "tiered liquidity" approach can help organizations establish a comprehensive risk management initiative.more

Kaufman Hall Point of View: Inflection 2.0--The Real Change Begins

Change is coming from every direction in healthcare, presenting hospitals and health systems with unprecedented challenges and opportunities. In the August Kaufman Hall Point of View Letter, Managing Director Mark E. Grube and Chair Kenneth Kaufman discuss six major trends that are transforming the industry, and what is needed to succeed amidst rapid market evolution.more

A Primer on Value-Based Contracting: Part 1

The transition to value-based care poses new challenges for hospitals and health systems, with significant upside and downside strategic, operational, and financial implications. Organizations should be proactive and move toward performance-based risk arrangements, but avoid taking on more risk than they are prepared to accept. In Part 1 of a two-part webinar series, recorded on August 15, 2013, Jim Pizzo and Andrew Cohen offer insight on how hospitals and health systems can assess their preparedness to assume risk under value-based arrangements.more

Healthcare Exchange Implications for Hospitals and Health Systems

The launch of public healthcare exchanges in October 2013 and the continued growth of private exchanges have major strategic and financial implications for hospitals and health systems. Members of Kaufman Hall's Strategy and Financial Planning practices discuss the landscape and share insight on how hospitals and health systems can balance the threats and opportunities presented by exchanges in a webinar recorded on August 7, 2013.more

Effective Cost Management Requires Pushing Through Execution Barriers

As hospitals and health systems nationwide work to reduce costs, they run the risk of encountering some common execution barriers that can impede success. Senior Vice President Brian Channon discusses these barriers, and how to avoid them, in the August issue of the HFMA Cost Containment newsletter.more

Rates Market Shifts Caused by Fed Outlook Change Require Careful Monitoring

The Federal Reserve Board's recent change in its outlook sparked immediate reactions in the rates markets, causing some interest rates to go up at levels not seen in several years. Despite the Fed's efforts to reassure investors in the weeks since, hospitals and health systems should persist in monitoring the markets.more

Navigating Performance-Based Risk

The transition to value-based care poses new challenges for hospitals and health systems, with significant upside and downside strategic, operational, and financial implications. In the cover story for the July 2013 issue of hfm magazine, Managing Director Jim Pizzo and Vice Presidents Carlos Bohorquez, Andrew Cohen, and Debra Ryan discuss some crucial factors that healthcare leaders must consider as they evaluate potential value-based contracts.more

Kaufman Hall Point of View: The Slowing of Healthcare Spending: Have We Turned the Corner?

Overall U.S. healthcare spending has held steady at a slow growth rate for three consecutive years. In the August Kaufman Hall Point of View Letter, Chair Kenneth Kaufman and Managing Director Mark E. Grube discuss some of the many factors that are contributing to the recent flattening of the cost curve.more

Value-Based Contracting

This guide, published in collaboration with the Health Research & Educational Trust, provides specific guidance related to assessment, and financial, operational, and implementation issues that hospitals and health systems must consider as they move toward value-based contracting.more

New Partnerships 2.0

In the lead article for the Summer 2013 issue of the Kaufman Hall Report, we examine several types of innovative partnerships that are becoming increasingly prevalent as hospitals and health systems across the country adapt to a changing healthcare landscape.more

Kaufman Hall Point of View: Five Hard Things Hospital Leaders Must Do to Transform U.S. Healthcare

In the July Kaufman Hall Point of View letter Chair Kenneth Kaufman and Managing Directors James W. Blake and Mark E. Grube recommend five hard things that hospital and health system leaders must do to accelerate progress toward improving quality of care, and transforming the U.S. healthcare system from a sick care model to a health care model.more

Non-Core Assets and Businesses: What's Your Strategy to Optimize the Organization's Portfolio?

Reducing healthcare costs is an enormous challenge facing hospitals, health systems, and other providers as they transition to the new value-based business model. To lower costs, organizations must scrutinize each and every part of their portfolio of services. Managing Director Kit Kamholz discusses how executives can most effectively begin to evaluate their assets.more

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Establishing a Timeframe for Transitioning to Value-based Contracts and How to "Mind the Gap"

Multiple factors are contributing to increased performance pressure for hospitals and health systems as the nation migrates toward a value-based payment system. The challenges include federal and state budget pressures, rising supply and service costs, declining payments from commercial and government insurers, and decreasing demand for inpatient and certain hospital outpatient services.more

Risk On, Risk Off, Risk Managed

After a period of "de-risking" following the financial crisis of 2008, many hospitals and health systems are contemplating the need to assume new risk as part of the transition to a value-based business model. During a webinar recorded on June 13, Eric Jordahl, a Kaufman Hall Managing Director and leader of the firm's Financial Advisory practice, discussed the new risk environment facing hospitals and health systems and recommended tools that organizations can employ to mitigate the potential downside associated with these risks while positioning themselves to confidently pursue new cost-saving opportunities that emerge.more

Deciding Whether to Enter Provider-Sponsored Health Plans Requires Careful Up-Front Analysis

As the country makes the shift to value-based care, many hospitals and health systems are contemplating how best to start managing population health under risk-based payment arrangements. As part of that equation, some organizations are considering whether their chances of succeeding in the emerging business model would be enhanced by developing, acquiring, or participating in provider-sponsored health plans.more

Rolling Forecasting Offers Alternative to Budgeting

For many organizations, annual budgeting is an arduous process that yields projections that are not as effectively connected to long-term financial plans as they should be. Many organizations are seeking an alternative process that is more efficient and enables them to respond to new opportunities more nimbly. Innovative partnerships are developing as providers look to build relationships to manage population health. The annual budget process often is not timely enough to evaluate the impact of such opportunities, or to update the detailed operational plan for their implementation.more

Defining the Role of Invested Assets Is Essential to Success

As the U.S. healthcare system transitions to a new reimbursement environment, hospitals and health systems are viewing the future of their operations through a new lens. Resources are likely to be constrained in the coming years, making it increasingly important for providers to maximize the return on operating and financial assets, and to look at the “big picture” when considering where, why, and how to accept risk.more

The Path to Sustainable Cost Management: Addressing Tough Questions

The steps hospitals and health systems take at the start of the cost reduction process can significantly affect the final results. It is critical to address “tough questions” up front.more

Evaluating Synergies of Potential Partnerships Ensures a Strong Alliance

The shift to value-based care has spurred new partnerships in health care, with strategic alliances among hospitals, health systems, and other providers being announced almost weekly. Given the rate of change, organizations may feel pressured to rush into a partnership, but a successful affiliation that yields the desired synergies requires careful evaluation, planning, and execution.more

Centralizing Financial Risk Management Under Treasury Provides a Stabilizing Force in Uncertain Times

Hospitals and health systems nationwide are feeling the twin pressures of declining utilization and payments. Organizations are working to protect financial resources by focusing on reducing costs and transforming business and clinical operations. A robust and centralized financial risk management function should be put into place to support these efforts.more

Rolling Forecasting Realized

During this webinar, recorded in April 2013, clients Mike Allen, CFO of Winona Health (Winona, MN), Stephanie Schnittger, Senior Director, Corporate Finance for Inova Health System (Falls Church, VA), and Theresa Hackman, Manager of Financial Forecasting and Analysis at Pinnacle Health System (Harrisburg, PA), provide insight on how their organizations made the decision to use a Rolling Forecasting process. Kaufman Hall's Debra Miller also discusses Budget Advisor's capabilities to support a Rolling Forecasting process, using data and enhanced planning techniques to update the forecast at regular intervals.more

Physician Compensation Modeling and Budgeting: Carolinas HealthCare System's Physician Network Leads the Way

Employment of specialty and primary care physicians by hospitals is on the rise nationwide, reflecting a number of converging trends. The real issue is not if hospitals are going to employ physicians, but how they are going to employ them. Models for employment vary widely, but effective compensation plans are critical to recruiting and retaining the best physicians and to ensuring that hospitals meet their strategic financial goals.more

Streamlining the Budget Process in a Multihospital System

How do you make the development and approval of 1,164 budgets required for a health system’s nearly 50 operating entities go as smoothly and quickly as possible? Ask the Finance executives at INTEGRIS Health in Oklahoma, where the entire budget process takes only a little more than one month to complete. In 2007, for example, the strategic plan was completed at the end of February, budgets were sent to departmentlevel managers in the beginning of April, and by mid May, the budget process was finished.more

Budget Advisor Supports the Evolution of Budgeting Toward Rolling Forecasting

With rapidly changing healthcare market dynamics, hospitals and health systems are assessing how they can evolve their budget process to make it more efficient and responsive to new opportunities and risks that develop during the fiscal year. Following the lead of companies in other industries—for example, American Express, Microsoft, and General Electric—some healthcare providers have begun to implement a “Rolling Forecasting” process as an extension of, and in some cases a replacement for, annual budgeting.more

Modeling the Impact of Healthcare Reform

As a value-based business model emerges, accelerated by new healthcare reform regulations, organizations must ensure that their financial planning takes into account the specific effects of changes. Senior Vice President Dawn Samaris discusses how hospitals and health systems can ensure that their projections include critical sensitivity analyses related to forthcoming utilization and payment shifts.more

179ea685-fab4-471a-91a1-840131f1eca6_Modeling the Impact of Healthcare Reform (Samaris).mp3 Listen  |  Download  the podcast to learn more
Evaluating the Synergies of Potential Hospital Partnerships

The healthcare industry is moving through a period of consolidation driven by the new value-based business model. New mergers and partnerships between hospitals and health systems seem to be announced almost daily. Senior Vice Presidents Kate Guelich and Brian Kelly describe how the synergies hoped for with new partnerships require careful evaluation and planning and then thorough follow through to realize the desired gains.more

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Kaufman Hall Point of View: Decline in Utilization Rates Signals a Change in the Inpatient Business Model

Use rates for inpatient and certain hospital outpatient services are declining in many areas of the country, reflecting fundamental change brought by the new business model.more

Physicians Front and Center: Michael H. Perskin, M.D., on Collaborating for Improved Results

In the lead article for the Spring 2013 issue of the Kaufman Hall Report, we interview Michael H. Perskin, M.D., host of the national education call-in show “Healthy Aging” on Sirius XM’s Doctor Radio. In the article, he shares his insights about opportunities to bring physicians, hospital executives and patients together to improve care.more

Early Users Describe the Value of Kaufman Hall’s Financial Advisor Portal

A pilot group of 15 clients has been working with Kaufman Hall Financial Advisor since the middle of last year. Two of those clients, Catholic Health Initiatives and Duke University health System, share the impact the portal is having on their organizations in this article published in the Spring 2013 Kaufman Hall Report.more

Decline in Utilization Rates Signals a Change in the Inpatient Business Model

Kaufman Hall’s Mark Grube, Kenneth Kaufman, and Robert York, published this informative blog in March on the Health Affairs website. Providers that embrace the migration to value-based care will need to work aggressively to eliminate unnecessary and/or ineffective activities in order to thrive under risk contracts.more

How Are New Era Partnerships Transforming U.S. Healthcare?

As traditional lines and roles blur, "New Era" transactions have the potential to fundamentally and dramatically redefine how the business of healthcare is conducted. During this webinar, recorded in February of this year, senior members of Kaufman Hall's Mergers and Acquisitions practice share insights on some of the major transactions of 2012 and the implications for hospital and health system leadership.more

Anticipating Utilization Trends Key to Adapting in an Evolving Market

Kaufman Hall’s Dawn Samaris, Senior Vice President in the Financial Planning practice, published this informative blog in February on the Healthcare Financial Management Association’s (HFMA) website. Scenario modeling is vital in the New Era to anticipate how forces might affect revenues and cash flow.more

Engaging Clinicians in Reducing Non-Labor Costs Requires an Evidence-Based Approach

Kevin Neuman, one of Kaufman Hall's Strategic Cost Management experts, published an important blog in January on the Healthcare Financial Management Association’s (HFMA) website. In an era of ever-tightening budget constraints, it is critical for hospital and health system leaders to effectively engage clinicians in efforts to reduce the cost of the products and services they use daily for clinical care in the hospital.more

Sustainable Transformation: Insights on Managing Labor and Non-Labor Costs

Brian Channon and Kevin Neuman, senior consultants with Kaufman Hall's Strategic Cost Management team, share insights during this webinar on how hospitals and health systems can achieve their improvement goals related to both labor and non-labor costs and sustain the improvements over time.more

2013 Speaking Topics

Are you interested in having a Kaufman Hall executive speak at your association or society meeting? More than 50 Kaufman Hall executives provide presentations at national, regional, and local industry meetings. To see Kaufman Hall's list of 2013 topics, including session descriptions and objectives.more

Issues and Options for Restoring Financial Viability to Distressed Nonprofit and Public Hospitals

Kaufman Hall’s Anu Singh and Miles W. Hughes of McDermott Will & Emory, collaborated on this article discussing the challenges facing financially-distressed hospitals and strategic alternatives for restoring viability published by the American Health Lawyers Association in the AHLA Connections December 2012 issue.more

Defining the Right Regional Facility Strategy

An architect and Vice President in the firm's Strategy practice, Jim Medendorp describes how organizations can shape the right approach to care facilities-one that involves prioritizing facility needs and capacity requirements across a region.more

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Transforming the Facility Capital Investment Process

A recently retired member of the firm's Strategy practice, Dave Ennis describes how hospitals can help ensure that they are investing appropriately in their inpatient and outpatient facilities in a capital-constrained environment. Jim Medendorp is the follow-up contact if you have questions or would like to learn more. You can reach Jim at jmedendorp@kaufmanhall.com.more

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Transforming America’s Hospitals: Keynote Addresses at the 2012 Conference

The lead article in the Winter 2013 issue of the Kaufman Hall Report provides excerpts of the four keynote addresses delivered at the 2012 Kaufman Hall Healthcare Leadership Conference in October by Jim Collins, Paul Starr, PhD, Richard M.J. Bohmer, MBChB, MPH, and David J. Brailer, MD, PhD.more

Hospital Advisor Enhancements Support Need for Effective Scenario Planning

With the forthcoming 2013 update to Hospital Advisor®, Kaufman Hall continues to enhance clients’ ability to model the financial impact of the Affordable Care Act and the new business model.more

Kaufman Hall Point of View on Driving the Transition to Value-Based Care

The December 2012 Kaufman Hall Point of View letter offers a four-step approach to executing the transition to value-based care. Kaufman Hall urges all hospitals and health systems to consider what they can do in their communities and with their payers to drive the transition to value-based care sooner rather than later.more

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Ensuring New-Era Sustainability through Integrated Planning

Managing Director Jason Sussman describes the process hospitals and health systems should use in planning for the transition to value-based care, how they can assess the strategic and financial implications of changing care and payment models, and what they can do to enhance the likelihood of success, whether remaining independent or partnering with other organizations.more

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The Board's Responsibility for Quality and Safety

Matthew Lambert, M.D., a Senior Vice President in the firm's Strategy practice, describes why the transformation to value-based care is increasing the need for more board focus on quality and safety and specific responsibilities that the board should assume for strengthened oversight.more

78521b3a-b7ba-4621-9de0-36f36eda32e4_Matt Lambert Podcast_October 2012.mp3 Listen  |  Download  the podcast to learn more
GDP+0: Prospects and Challenges of Bending the Health Care Cost Curve

On October 16th, Health Affairs posted an editorial authored by Kenneth Kaufman and Charles Roehrig, Ph.D., examining the effects of applying GSP+0 growth limits to national healthcare expenditures—specifically the effects on the federal deficit and the Medicare Hospital Insurance (HI) Trust Fund.more

New Deals Are Reshaping U.S. Healthcare

Mergers, acquisitions, and partnerships in healthcare have accelerated, as industry participants reposition themselves for a value-based delivery system. The lead article in the Fall 2012 issue of the Kaufman Hall Report describes five types of new deals that warrant leadership consideration for what each could mean for healthcare.more

Kaufman Hall Point of View on the Board’s Role in Care Quality & Safety

The October 2012 Kaufman Hall Point of View letter offers seven key areas requiring the board’s attention. Kaufman Hall proposes that the board’s sphere of influence and responsibility is expanding from within the walls of its facility throughout the care continuum.more

Meeting the Challenge of Reducing Inappropriate Clinical Practice Variation

The lead article in the Summer 2012 issue of the Kaufman Hall Report provides guidance on building a sustainable program to reduce inappropriate clinical practice variation.more

A Guide to Physician Integration Models for Sustainable Success

Kaufman Hall’s Scott Cullen, M.D., Matthew Lambert III, M.D., and James Pizzo authored a new guide in the AHA's Hospitals in Pursuit of Excellence series--A Guide to Physician Integration Models for Sustainable Success. The Guide describes the groundwork and prerequisites required for successful hospital-physician integration and offers an overview of integration models currently deployed at hospitals and health systems nationwide.more

Determining the Best-Fit Partnership Arrangement and Structure

Mike Finnerty describes the wide range of partnership arrangements and structures occurring today and how hospital leaders can make the best-possible strategic partnering decisions.more

ff906235-f748-4360-9a0f-2afc379b4a76_Mike Finerty Podcast _August 2012.mp3 Listen  |  Download  the podcast to learn more
Strategic Options in a Consolidating Industry

Mark Grube describes the consolidation activity occurring now and the process management teams and boards can use for assessing their position and strategic options in the changing landscape.more

4bd27ff6-b028-4a2b-8b89-b4c004284a81_Mark Grube Podcast_August 2012.mp3 Listen  |  Download  the podcast to learn more
Meeting the Challenges of Reducing Clinical Practice Variation

Variation in the way healthcare is delivered in the U.S. is a topic of increasing interest, specifically why such a large amount of clinical practice variation occurs—across regions….across hospitals in a region….and even across doctors in a hospital. In this podcast Scott Cullen, M.D., discusses how hospitals can improve quality of care and lower overall healthcare costs through a deeper understanding of clinical variation, the challenges it poses, and how to address these challenges.more

c388f42e-75b9-403a-a9f8-c2aabe5b6237_Meeting the Challenges of Reducing Clinical Practice Variation (Cullen).mp3 Listen  |  Download  the podcast to learn more
What Role Will Your Organization Play in the Future Health-Delivery Model?

Under the new business model, three very different classes of providers are emerging and will continue to emerge to replace the “all-things-to-all-people” role more commonly played by hospitals and health systems in the communities they served in the fee-for-service world. In this podcast, Jim Pizzo explains the transition and the very different roles hospitals and health systems will play, from niche providers to full population health managers. He also provides critical issues leaders should consider in defining their organizations’ future role in the new delivery system.more

b738a82b-ea79-4005-b1b3-c9ddc161edb2_What Role Will Your Organization Play in the Future Health-Delivery Model (Pizzo).mp3 Listen  |  Download  the podcast to learn more
Aligning with Physicians for Value-Based Care

The emerging value-based care delivery and payment system means that, more than ever before, hospitals will need to work closely with physicians to manage care outcomes and costs. Around the country, the race is on for hospitals to establish new alignments with physicians. In this podcast, Jim Pizzo explains the importance of this new alignment and provides guidance on how to form successful and sustainable arrangements.more

d616aebd-4770-48a8-ae67-c84a3f5d8378_Aligning with Physicians for Value-Based Care (Pizzo).mp3 Listen  |  Download  the podcast to learn more
Rethinking Governance and Management Structures and Incentive Plans for Value-Based Care

Kaufman Hall’s Senior Vice President Brian P. Fuller, Vice President Chirag Patel, and Managing Director Mark E. Grube, recently authored this whitepaper, including seven key strategies, to help executive teams and boards establish the leadership structure and incentive systems needed to succeed in the clinical, operating, and payment environment of the future.more

A Guide to Strategic Cost Transformation in Hospitals and Health Systems

Kaufman Hall’s Brian Channon, James Blake, Mark Grube, and Jason Sussman authored a new guide in the AHA's Hospitals in Pursuit of Excellence series--A Guide to Strategic Cost Transformation in Hospitals and Health Systems, which provides practical strategies for cost management and business restructuring.more

Bending the Health Care Cost Curve

On April 14, Health Affairs posted an editorial written by Kenneth Kaufman discussing five trends bringing fundamental and structural changes to the healthcare marketplace, contributing to the slowing of the nation’s health spending and potentially significantly altering the cost curve going forward.more

Who Will Fix Medicare?

The Medicare system in this country is unsustainable, a trend only to be exacerbated by the millions of Baby Boomers ready to enter the program. And, without the reform of Medicare, it will not be possible solve the nation’s mounting debt and deficit problems. In this podcast, Ken Kaufman states that providers can do some of the work that needs to be done and describes strategies hospitals and health systems can use to begin making the required care-delivery changes.more

b3871352-d962-40a4-a655-220cd6a1bb5f_Ken Kaufman Podcast 1.mp3 Listen  |  Download  the podcast to learn more
Rethinking Management Structures and Incentives for Value-Based Care

As the healthcare industry transitions to a value-based model, leading hospitals and health systems are taking a close look at their management structures and incentives to see whether these might need reshaping to better align with new-era requirements. In this podcast, Mark Grube addresses why traditional management structures and incentives will likely be inadequate under the new model and how hospitals can best address this situation going forward.more

208dd8b7-f32a-441b-b48f-5aedc89ef9e6_Mark Grube Podcast 1.mp3 Listen  |  Download  the podcast to learn more
Three Often-Overlooked Opportunities to Reduce Cost

As the model of healthcare in this country shifts to a value based system, hospitals and health systems must lower costs in order to meet the requirements related to care efficiency. In this podcast, Brian Channon discusses frequently overlooked ways hospitals can work towards this cost-reduction goal.more

d1944fd9-a53f-4e62-9b70-9fb9225adf8c_Brian Channon Podcast 1.mp3 Listen  |  Download  the podcast to learn more
Tips for Setting Cost-Reduction Targets

As the model of healthcare in this country shifts to a value based system, hospitals and health systems must lower costs in order to meet the requirements related to care efficiency. In this podcast, Brian Channon discusses frequently overlooked ways hospitals can work towards this cost-reduction goal.more

706476c4-6782-4cc1-b984-472d91a1aa9a_Brian Channon Podcast 2.mp3 Listen  |  Download  the podcast to learn more
The Transformation of America’s Hospitals: Economics Drives a New Business Model

Kaufman Hall CEO Kenneth Kaufman and managing director Mark Grube authored the chapter on healthcare reform in Futurescan 2012: Healthcare Trends and Implications 2012–2017, published by Health Administration Press and the Society for Healthcare Strategy and Market Development.more

ACOs: To Prepare for the Future, Focus on the Fundamentals

In a feature article of the March/April 2012 issue of Healthcare Executive magazine, authors Thomas Selden of Southwest General Health Center and Timothy Shoger of Kaufman Hall, offer three principles to help CEOs focus their organizations on the fundamentals of accountable care.more

A Perfect Storm Ignites Hospital Consolidation and Partnerships Nationwide: What’s Your Position?

The lead article in the Spring 2012 issue of the Kaufman Hall Report provides a bird’s eye view of the increasing number of healthcare merger and acquisition transactions occurring in the marketplace.more

Kaufman Hall Point of View on Fixing Medicare

The February 2012 Kaufman Hall Point of View letter offers seven key suggestions for fixing Medicare. Kaufman Hall proposes that hospitals and health systems can and must play a major role in Medicare’s repair.more

Kaufman Hall Report From the Front: Advocate’s Early Results

This Report From The Front details the efforts of one of the organizations that has been "out in front" with new-model physician integration and value-based payer contracting initiatives—Illinois-based Advocate Health Care.more

Kaufman Hall Report Winter 2011: Transforming America’s Hospitals

The lead article provides excerpts of the two keynote addresses delivered at the 2011 Kaufman Hall Healthcare Leadership Conference in October by Malcolm Gladwell and Elliott S. Fisher, M.D., M.P.H.more

A Better Way: Dealing with Serious Illness and End of Life Care

This article has been selected as one of Kaufman Hall’s “must read” articles for January 2012. Authored by Dr. Steven Pantilat, who is Professor of Clinical Medicine and Director of the Palliative Care Program at the University of California, San Francisco, the article appears in the December 2011 issue of BoardRoom Press, published by The Governance Institute.more

Managing Enterprise Risk to Achieve Sustained Success in the New Healthcare Environment

The Spring 2011 Governance Institute whitepaper on enterprise risk management (ERM), authored by Kaufman Hall’s James Blake, Ryan Gish, and Eric Jordahl, was developed to help healthcare executive teams and boards use ERM to navigate the industry’s transformation during the next decade. The authors use real-life examples of healthcare organizations who have successfully implemented ERM to illustrate its importance for success in the evolving healthcare environment.more

Finding the Best Strategy for Service Distribution: Lessons from Successful Hospital Consolidations

An overview of the service distribution planning process and a detailed case study of two Indiana healthcare organizations that joined forces to create a regional service delivery plan are provided in the cover story of the November 2011 issue of hfm authored by Kaufman Hall’s Mark Grube and Walter Morrissey, M.D.more

Kaufman Hall Point of View on Narrow Networks

The November 2011 Kaufman Hall Point of View letter highlights seven key points regarding the rise of a new competitive trend in the nation’s healthcare delivery—narrow network insurance plans—and how their presence can quickly and significantly impact an organization’s market share.more

The Final CMS Rule on ACOs: Key Changes, Implications, and Recommendations

This letter was sent to clients in early November 2011 in response to the release of the Final Rule for the Medicare Shared Savings Program by CMS on October 20, 2011. Within the letter, the authors identify opportunities and concerns that organizations may wish to consider as they evaluate participation in the program.more

How to Make the Strategic Partnering Decision

Eight lessons that can help healthcare boards and executive teams make the best-possible strategic partnership decision are provided in this white paper authored by Kaufman Hall’s Mark Grube and Mike Finnerty, including examples of organizations using best-practice partnering processes.more

Achieving Value from the ENUFF Software Suite® Implementation Process

Published in the Fall 2011 issue of the Kaufman Hall Report, this article provides commentary from hospital finance executives to help clients maximize the benefits of successful implementation of ENUFF software—real process improvement and better decision making.more

Clinical Integration: What Is It and Is Your Organization Ready?

The lead article in the Fall 2011 issue of the Kaufman Hall Report, authored by Scott J. Cullen, M.D., and James J. Pizzo addresses clinical integration as key to achieving the quality and cost goals of the emerging value-based healthcare system. This article focuses on the five core competencies that are required for hospitals and health systems to advance CI networks and programs organization-wide and the process used to assess such competencies.more

Kaufman Hall Point of View on Healthcare Costs

The August 2011 Kaufman Hall Point of View letter identifies five financial issues that require hospital and health system leaders’ immediate attention.more

Making the Right Match

In the feature article of the March 2012 issue of Trustee magazine, Kaufman Hall authors Mark Grube and Mike Finnerty offer eight lessons that can help boards and executive teams make the best-possible strategic partnership decision.more

Ready or Not for the New Healthcare Era

Results of a recent survey and commentary, including examples of organizations that have achieved a high degree of preparedness, appear in this white paper authored by Kaufman Hall’s Mark Grube, Brian Fuller, and Chirag Patel. The survey was conducted by Kaufman Hall in collaboration with The Governance Institute to assess leaders’ perceptions of their organization’s readiness with 10 core-competencies for the new healthcare era.more

Kaufman Hall Point of View on Six Key Trends in Healthcare Transformation

The first letter in Kaufman Hall’s “Point of View” communications, published in March 2011, identifies six key trends in healthcare transformation. The Point of View letters aim to help hospital and health system leaders discern what unquestionably requires consideration and focus at this time, identifying critical trends, issues, and tactics to help them manage through these rapidly changing and challenging times.more

Integrating Physicians: Compensation Modeling, Budgeting, and Reporting Are Key to Post-Reform Success

Authored by James J. Pizzo, Russ Anderson, and Debra Miller, this article in the Summer 2011 issue of the Kaufman Hall Report, addresses physician integration as key to achieving the quality and cost goals of the emerging value-based healthcare system and the need for solid information systems, such as Budget Advisor®, to meet rigorous cost and budget planning, monitoring, and reporting requirements.more

Strategic Cost Management: Identifying Opportunities and Achieving Reductions, Ahead of the Curve

The lead article in the Summer 2011 issue of the Kaufman Hall Report, authored by Sr. VP Brian Channon and Managing Director Jason Sussman, describes the strategic management approach Kaufman Hall recommends to produce the needed results in organizations nationwide, while ensuring organizational control of the improvement process.more

Driving Organizational Performance: Baylor Health Care System Puts Three Kaufman Hall Tools to Work

As the healthcare industry changes, Baylor Health Care System (BHCS) expects Hospital Advisor®, Budget Advisor®, and Capital Advisor®, all part of Kaufman Hall’s ENUFF Software Suite®, to help the organization respond quickly and appropriately. The article describes how the system is using each product to help them forecast, plan, and allocate funds.more

KaufmanHall Report Spring 2011: What Should We Offering Where? Next-Generation Planning to Optimize the Distribution of Your Services

In the lead article of the Spring 2011 issue of the KaufmanHall Report, Managing Director Mark E. Grube and Vice President Walter M. Morrissey, M.D., recommend a planning approach that hospitals and health systems can use to rethink and reshape the portfolio and distribution of services offered across the organization and its geographic market(s).more

Getting to There from Here: Evolving to ACOs Through Clinical Integration Programs

Kaufman Hall’s James Pizzo and Mark Grube authored a comprehensive white paper in January 2011 on how hospitals can get ready for participating in accountable care organizations by developing clinical integration programs. The white paper includes a detailed description of Advocate Physician Partners’ clinical integration program.more

Modeling the Impact of Healthcare Reform

This article appears as the cover story in the January 2011 issue of hfm. Using actual projections and modeling examples, Kaufman Hall experts provide specifics to help executives understand clearly how to assess their organization’s current position, where they need to go, and whether they have the resources to get there.more

Preparing for Reinvention: Hospitals Must Make Major Changes for Post-Reform Success

This article is the feature strategy article in the January 2011 issue of Trustee magazine. The article describes what Kaufman Hall experts have learned from working closely with senior healthcare executives nationwide on healthcare reform preparedness.more

Rating Agency Update: The Credit Opportunities and Challenges of Healthcare Reform

This article from the winter 2010 issue of the KaufmanHall Report offers excerpts of the presentations provided at the 2010 Kaufman Hall Financial Leadership Conference in Chicago.more

Business Not as Usual - How Capital Advisor® Can Help

As capital spending needs and constraints intensify industrywide, much more discipline will be required with decisions related to spending. A disciplined tracking structure that is supported by high-quality software tools helps to keep capital projects on budget. This article from the winter 2010 issue of the Kaufman Hall Report provides perspectives from two organizations using Kaufman Hall’s Capital Advisor to achieve these capital management objectives.more

Kaufman Hall Report Winter 2010: The Real Reform of Healthcare

Kaufman Hall was honored to have Atul Gawande, MD, MPH, present the keynote address at the 2010 Kaufman Hall Financial Leadership Conference in Chicago. Dr. Gawande is an award-winning surgeon, researcher, professor, author, and writer. The leading article in the winter issue of the KaufmanHall Report newsletter offers excerpts from Dr. Gawande’s keynote address, in which he discusses the complexity of medicine, the challenge of execution, and variation in care quality and costs.more

Hospital Readiness for the New Era: What We’ve Learned to Date

Since early 2009, Kaufman Hall has been working closely with senior executives at hospitals and health systems nationwide to help them assess their organizations’ current readiness for the new business model and post-reform environment and to recommend repositioning strategies suitable to their situation and marketplace. In Kaufman Hall’s most recent white paper, Chief Executive Officer Kenneth Kaufman, Vice President Brian Fuller, and Managing Director Mark Grube describe key “learnings” of the last 18 months.more

Rating Agency Update: The Credit Opportunities and Challenges of Healthcare Reform

Presented at the 2010 Kaufman Hall Financial Leadership Conference by Lisa Goldstein, Senior Vice President/Team Leader, Healthcare Ratings, Moody’s Investors Service; Martin Arrick, Managing Director, Non-Profit Healthcare Ratings, Standard & Poor’s; and Jeff Schaub, Senior Director and Sector Head, Not-for-Profit Healthcare, Fitch Ratings; with Chair, Therese L. Wareham, Partner, Kaufman Hall.more

Managing Business Operations in the Reform Era with Budget Advisor®

Presented by Debra Miller and Robert Guthrie, Vice Presidents, Kaufman Hall, at the Kaufman Hall 2010 Financial Leadership Conference.more

Leasing: Strategic and Financial Considerations

Presented by Brian Burgett and Mark McIntire, Kaufman Hall, at the 2010 Kaufman Hall Financial Leadership Conference.more

Allocating Capital: Balancing Reform Strategies with Ongoing Capital Needs

Presented by Jason H. Sussman, Partner, Kaufman Hall, at the 2010 Kaufman Hall Financial Leadership Conference.more

Building a Sustainable Network and Physician Strategy

Presented by James E. Pizzo, Executive Vice President, and Walter Morrissey, M.D., Vice President, Kaufman Hall, at the 2010 Kaufman Hall Financial Leadership Conference.more

Managing Risk in the Current Capital Markets

Presented by Eric A. Jordahl and James W. Blake, Partners, Kaufman Hall, at the 2010 Kaufman Hall Financial Leadership Conference.more

Financial Planning: Adjusting for Reform Implications

Presented at the 2010 Kaufman Hall Financial Leadership Conference by Aaron Coley, Vice President of Decision Support, MemorialCare; and Daniel Majka, Senior Vice President, and Charles Kim, Vice President, Kaufman Hall.more

Strategic Positioning in the New Era

Presented at the 2010 Kaufman Hall Financial Leadership Conference by Randy Oostra, D.M., FACHE, President and Chief Executive Officer, ProMedica Health System; and Mark E. Grube, Partner, Kaufman Hall.more

Clinical Integration: Aligning with Physicians to Create Value

Presented at the 2010 Kaufman Hall Financial Leadership Conference by Lee B. Sacks, M.D., Executive Vice President and Chief Medical Officer, Advocate Health Care, and President, Advocate Physician Partners.more

Stepping Up to Healthcare's New Business Model: Key Considerations for All Hospitals and Health Systems

Presented by Kaufman Hall Staff at the 2010 Kaufman Hall Financial Leadership Conference.more

Case Study: Empowering Staff to Own Their Numbers

To determine if they are delivering services at the desired cost and outcomes targets, healthcare organizations need to ensure that their budgeting and operations control are more rigorous than ever before. As Bethesda Healthcare System has found, establishing a more engaged and collaborative relationship around the numbers is key to achieving that objective, and Kaufman Hall’s Budget Advisor® is an important enabler.more

Six Essential Strategies for Successful Hospital-Physician Integration

Integrated hospital-physician arrangements will be critical to the success of hospitals and health systems in the future under a value-driven care delivery and payment system. Kaufman Hall’s James Pizzo and Mark Grube have authored a white paper entitled, “Six Essential Strategies for Successful Hospital-Physician Integration.” Their goal is to help organizations develop an integration plan that best suits the hospital or health system’s needs.more

Budgeting and Operations Control in a Challenging, Changing Environment

Kaufman Hall asked clinical and financial executives at four organizations with very different profiles to describe how Kaufman Hall’s Budget Advisor® helps them to properly manage productivity and costs. The article offers their key points about the software’s role in their organizations. Learn what these executives say about how Budget Advisor helps them to manage organizational costs.more

Accelerating Efforts to Monitor and Manage Performance

To succeed under the new value-focused business model, hospitals and health systems will need high-quality tools and technology that support monitoring and management of performance under changing financial arrangements. Kaufman Hall’s Kenneth Kaufman, Jason Sussman, and Debra Miller had this article published in the Summer 2010 issue of Strategic Financial Planning published by the Healthcare Financial Management Association.more

Case Study: NGHS Comes to Terms with Reform

Our Strategic Planning team is working with several hospitals to help them come to terms with the impact of reform and other industry changes through our Readiness & Repositioning Services. A brief summary of our work with Northeast Georgia Health System is included in this case study.more

Kaufman Hall Report Summer 2010

Led by 25-year industry veteran Jim Pizzo, our Physician Advisory practice is working with several hospitals to help them develop the integrated hospital-physician arrangements that are critical to success under a value-driven care delivery and payment system. Jim shared some great insights on this topic in the lead article of the summer issue of the Kaufman Hall Report.more

Managing Risk Through a Global Capital Strategy

Kaufman Hall Partners, James Blake and Eric Jordahl, authored the feature article entitled, “Managing Risk Through a Global Capital Strategy,” in the July 2010 issue of hfm, published by the Healthcare Financial Management Association. Within the article, the authors describe a structure for creating a global capital strategy.more

Reform-Era Planning and Decision Making with Hospital Advisor® Enterprise Edition

The new version of Hospital Advisor—Hospital Advisor Enterprise Edition—meets the more complex planning needs currently experienced by hospitals and health systems in the rapidly changing and higher risk healthcare environment. This article is published in the Summer 2010 issue of the Kaufman Hall Report. Within the article, finance executives from five organizations describe how they are using the software to better position their organizations for success in the new reform era.more

Models for Achieving Sustainable Hospital-Physician Integration

James Pizzo, Kaufman Hall Executive Vice President, authored the lead article in the Summer 2010 issue of the KaufmanHall Report. Within the article, Pizzo stresses that physician employment and practice acquisition in and of themselves do not guarantee meaningful integration and support; clinical and financial incentives must be aligned, and shared goals must be established and achieved.more

A New Business Model for Hospitals

Kaufman Hall’s managing partner Kenneth Kaufman authored an article titled “A New Business Model for Hospitals,” which was published in the May 2010 issue of Trustee Magazine. Recession and reform are changing healthcare. Can your organization adapt?more

Achieving the Benefits of Functioning as a True Health System

During the past decades, the hospital industry has been on a slow, but steady, course toward “system-ness.” This article describes how Massachusetts-based Caritas Christi Health Care is making the transition toward system-ness in order to manage operations effectively and efficiently.more

Capital Markets Update

The public market for healthcare debt generally feels more stable now, having come a long way since its virtual closure in September 2008. Nonetheless, 2010 has the potential to be deeply challenging for many hospitals and health systems. The lead article in the Spring 2010 Kaufman Hall Report, titled “Capital Markets Update,” takes a close look at relevant industry trends and the current market for specific financing programs.more

Revisiting Strategy Using Your Financial Plan

“With the rapidity of change in the healthcare landscape, every organization’s financial plan must be updated to reflect specific and broader economic and market events,” declare Kaufman Hall’s Jason Sussman, Dawn Samaris, and Jared Langus. These experts recently wrote an article entitled, “Revisiting Strategy Using Your Financial Plan,” which appeared in the Spring 2010 issue of Strategic Financial Planning published by the Healthcare Financial Management Association.more

Positioning Your Organization for Success in the New Era

In their recently published article, Kaufman Hall partner Mark Grube and managing partner Kenneth Kaufman describe the provider-success model in the new economic and market environment. The article was published in the January 2010 issue of hfm Magazine by the Healthcare Financial Management Association.more

Hospital Advisor® Enterprise Edition Enhances Organizational Reform Readiness and Executive Decision Making

This article describes how MultiCare Health System is using the new Hospital Advisor Enterprise Edition to assess potential effects of any major future change(s) in the organization’s environment.more

A New Business Model for the Hospital Industry

In this article, Kaufman Hall’s Ken Kaufman describes the emergence of a new business model for the hospital industry. The article is based on Ken’s presentation at recent Kaufman Hall Financial Leadership Conference in Chicago.more

Kaufman Hall Report Winter 09

This quarter’s newsletter features important messages, excerpts, and highlights from the 2009 Kaufman Hall Financial Leadership Conference.more

Budget Advisor® Client Testimonials

This flyer describes best-practice budgeting and operations control using real client examples.more

A Trustee’s Primer on Bonds

Trustee magazine published, in the October 2009 issue, a “Back to Basics” primer on bonds by Kaufman Hall’s Andrew J. Majka, partner and chief operating officer, and Therese L. Wareham, partner. “Because bonds may involve complex, and difficult-to-understand credit and financing issues, we hope this article will be a helpful educational tool for hospital and health system boards and management teams,” comment the authors.more

Seven Strategies for Improving Your Hospital’s Capital Structure

Kaufman Hall’s Andrew J. Majka, partner and chief operating officer, wrote an article appearing in the Fall 2009 issue of Strategic Financial Planning published by the Healthcare Financial Management Association. The following statement provides the foundation for the article, "Hospital and health system executives should be doing everything they can to bolster their organizations’ liquidity positions given balance sheet damage from the economic downturn and pending uncertainties of healthcare reform.”more

Achieving a Good-Fit Partnership

Partnership exploration and attainment can be exceedingly challenging on many different levels. The lead article of the Fall 2009 KaufmanHall Report is the Prince William Health System example of achieving a good-fit partnership.more

Making the Right Decisions in a Consolidating Market

Kenneth Kaufman and Mark Grube authored the cover story entitled “Making the Right Decisions in a Consolidating Market” in the July issue of hfm. In this article the authors encourage healthcare executives to recognize the opportunities of merger and acquisition while understanding the challenges and risks involved.more

The Financial Crisis and Health Reform: Six Strategic and Management Requirements for Hospital Leaders

Authored by Kaufman Hall’s managing partner, Kenneth Kaufman, the lead article in this summer’s KaufmanHall Report addresses how the key events of the past two years altered basic capital market-based assumptions, impacting hospital balance sheets and operations, and the essential leadership requirements going forward.more

The Opportunity and ‘Duty’ to Restructure Nonprofit Health Care Debt

With the recent economic downturn and continuing strain on revenues, healthcare facilities have faced increasingly tight budgets and even defaults on debt. The authors believe this financial predicament raises the opportunity to restructure, refinance and reduce long-term bond debt.more

Health System Solves Budgeting Challenges For Physician Practices Using Budget Advisor®

Carolinas HealthCare System and its many entities started using Kaufman Hall’s ENUFF Software Suite® in early 2008, specifically Hospital Advisor® and Physician Advisor® for long-range planning, and Budget Advisor for developing and monitoring a budget connected to and driven off the long-range plan.more

Ambulatory Surgery Centers: The Implications of New Market Trends for Hospitals

HFMA features article authored by Kaufman Hall’s Bryan Burgett on ASCs. The article provides strategies to compete in the ASC industry amid recent changes and in the current economic environment.more

Hospital Advisor Enterprise Edition

This 2-page flier describes the new Enterprise Edition of Hospital Advisor, which is designed to meet the comprehensive financial and capital planning needs of hospitals and health systems nationwide.more

Strategic Options for Hospitals in a Consolidating Market

This article summarizes a presentation by Mark E. Grube, partner, Kaufman, Hall & Associates, and roundtable discussion at The Governance Institute's April 2009 Leadership Conference.more

Ensuring Affordability of Your Hospital’s Strategies

Authored by Kaufman Hall’s Jason H. Sussman, partner, Mark E. Grube, partner, and Dawn Samaris, assistant vice president, “Ensuring Affordability of Your Hospital’s Strategies” appears in the May 2009 issue of hfm magazine.more

Special Report: Valuation of Derivatives--The Implications of FAS 157

Published in February 2009, this special report provides guidance related to FAS 157 for hospitals and health systems with interest rate swaps and other derivatives.more

Three Strategies: Keeping Capital Projects on Budget and Viable

This 7-page article was published in the Spring 2009 issue of Strategic Financial Planning.more

Strategic Options in the "New" Economy

This 5-page article appeared in the Spring 2009 issue of the Kaufman Hall Report.more

Allocating and Managing Capital in a Multihospital Network

This 2-page article appeared in the Spring 2009 issue of the Kaufman Hall Report.more

A Primer on Hospital Accounting and Finance, Fourth Edition

Published in March 2009, this 24-page publication provides board members and senior leaders with an easy-to-understand guide to the basic principles of healthcare accounting, payment, and finance.more

Engaging a Strategic Hospital Partner: A Proven Approach to Achieving Success

Published in March 2009, this white paper provides a structured process for making a well-informed strategic-partnership decision..more

Winter 2008 Kaufman Hall Report

In this issue: “Addressing Rising Healthcare Costs: A View from the Congressional Budget Office” and “Developing a Fact-Based Strategic Financial Plan.”more

Addressing Rising Healthcare Costs: A View from the Congressional Budget Office

This 5-page article appeared in the Winter 2008 issue of the Kaufman Hall Report.more

Governance Imperatives during the Current Credit Crisis

This article appeared in the December 2008 issue of BoardRoom Press, published by The Governance Institute.more

Developing a Fact-Based Strategic Financial Plan

This article appeared in the Winter 2008 issue of the Kaufman Hall Report.more

Making Smart Strategic Facility Investments

Presented by David Ennis and James Medendorp of Kaufman Hall at the 2008 Kaufman Hall Financial Leadership Conference.more

Leadership and Successful Financial Performance in Healthcare

A white paper titled, “Leadership and Successful Financial Performance in Healthcare,” was published in the November 2008 Bulletin of the National Center for Healthcare Leadership.more

New Directions for Healthcare Leadership

A chapter in the 2008 publication, New Directions for Healthcare Leadership by The Governance Institute outlines Ken Kaufman’s 10 critical issues for hospital leadership.more

Integrated Planning Offers Boards a Strategic and Financial Roadmap

Kaufman interviewed for the Fall 2008 issue of Great Boardsmore

Delivering Value: A System-wide Approach to Service Line Planning

This article appeared in the October 2008 issue of CMO Magazine.more

Defining the Right Facility Investment

The Fall 2008 Kaufman Hall Report features an article entitled "Defining the Right Facility Investment."more

Managing Productivity to Ensure Appropriate Staffing

New article in the Fall '08 Kaufman Hall Report discusses implementing a productivity system.more

Managing Risk in a Challenging Financial Environment

August 2008 hfm Magazine article by Kaufman entitled “Managing Risk in a Challenging Financial Environment.”more

A System-Wide Approach to Service Line Planning

This 2-page article appeared in the Summer 2008 issues of Kaufman Hall Report.more

Focus on Finance: 10 Critical Issues for Hospital Leadership

Published by The Governance Institute in June'08, this book provides key steps of healthcare financial management.more

Achieving Scale: Strategies for Sustained Competitive Performance

This 12-page article was the cover story of the May 2008 issue of hfm Magazinemore

Allocating Capital Appropriately: Use of a Single-Batch Process

This 6-page article was published in the January/February 2008 issue of Healthcare Executive, a publication of the American College of Healthcare Executives.more

Are Your Demand Projections Grounded in Market Realities?

This 3-page article appeared in the Winter 2008 issue of Strategic Financial Planning, published by the HFMA.more

Finding the Right Balance of Cash and Debt

Published in the December 2007 issue of The Governance Institute's BoardRoom Press, this is the third of a three-article series titled Critical Issues for Financial Leadership.more

The Changing Role of the CFO

The Winter 2007 issue of the Kaufman Hall Report features a 4-page article by Peter J. McCanna, Executive Vice President, Administration and CFO of Northwestern Memorial HealthCare.more

Planning the Right Facility: Seven Steps for Strategic Financial Success

This three-page article was published in the Nov/Dec 2007 issue of Spectrum.more

Using a Flexible Budget to Analyze Monthly Variances

Presented at the 2007 Kaufman Hall Financial Leadership Conferencemore

Supporting Strategic and Financial Management Processes with the ENUFF Software Suite

Presented by Debbie Vega of Community Medical Centers, Jennifer Mitzner of Hoag Memorial Hospital Presbyterian, and Jody Hill-Mischel and Ellen G. Riley of Kaufman Hall at the 2007 Kaufman Hall Financial Leadership Conferencemore

Joint Ventures: To Pursue or Not to Pursue?

This 8-page article was published in the November 2007 issue of hfm Magazine.more

Standing Alone: Assessing A Hospital's Long-Term Viability

This 4-page article appeared in the September 2007 issue of Trustee, published by HealthForum Inc.more

And Now, For the Million Dollar Question: How Much Can We Afford to Spend?

This 4-page article appeared as the cover story of the Fall 2007 issue of Strategic Financial Planning.more

Achieving Scale Through Growth: An Imperative for Sustained Competitive Performance

The lead article in the Fall 2007 Kaufman Hall Reportmore

A Disciplined Approach to Capital: Today's Healthcare Imperative

This 8-page article appeared in the July 2007 issue of hfm Magazine.more

The Healthcare Executive’s Guide to Allocating Capital

This book offers a step-by-step approach to capital allocation and management that can be used in all healthcare organizations—from small community hospitals to large healthcare systems.more

Best Practice Financial Management: Six Key Concepts for Healthcare Leaders, 3rd Edition

Written for healthcare executives and board members, this comprehensive yet easy-to-read book, in softcover format, describes the six key principles critical to the effective management of healthcare organizations.more

ENUFF® Software Suite brochure

This brochure provides an overview of the ENUFF® Software Suite.more

Business Planning: Quantifying ROI for Strategic Capital Initiatives

This 4-page article appeared in the Winter 2007 issue of Strategic Financial Planning.more

Eight Strategies for Managing Construction Risks Upfront

This 5-page article appeared in the Spring 2007 issue of Strategic Financial Planning.more

What Is Your Game Plan? Advice From the Capital Markets

This 10-page article appeared as the cover story in the November 2005 issue of hfm Magazine.more

What Every Trustee Needs to Know About Facility Replacement

This 6-page article appeared in the Nov/Dec 2005 issue of Trustee.more

The Risks and Rewards of Swaps

This 8-page article appeared in the May 2003 issue of hfm Magazine.more

Joint Resolution: Blending Finance and Strategy

This 8-page article was published in the November 2004 issue of hfm Magazine.more

Health Care Industry Trends: Converting Data to Competitive Advantage

This 4-page article appeared in the February 2007 issue of Trustee.more

Growing the Top Line: 5 Strategies to Expand Your Business

This 12-page article appeared as the cover story article in the May 2007 issue of hfm Magazine.more

Got Outpatient Data? Using Data Sources to Assess Ambulatory Opportunities, Part 2

This 3-page article appeared in the September/October 2006 issue of Spectrum.more

Got Outpatient Data? Using Data Sources to Assess Ambulatory Opportunities, Part 1

This 3-page article appeared in the July/August 2006 issue of Spectrum.more

Funding Technology: Evaluating and Exercising the Leasing Option

This 8-page article appeared in the November 2006 issue of hfm Magazine.more

Developing and Implementing a Comprehensive Debt Management Policy

This 7-page article appeared in the August 2006 issue of hfm Magazine.more

Best Practice Capital Allocation and Financing

This 4-page article appeared in the Winter 2004 issue of Frontiers of Health Services Management.more

Achieving Success Through Disciplined Planning

This 5-page article appeared in the Nov/Dec 2006 issue of Trustee.more

A Capital Idea: Bonds and Nontraditional Financing Options

This 8-page article appeared in the May 2004 issue of hfm Magazine.more

The Current State of the Hospital Industry and Its Impact on State Financing Authorities

This 4-page article appeared in the March 2007 NAHEFA/NCHFFA Newsletter.more

The Big Squeeze: Creating a Sustainable Future for Suburban Community Hospitals

This 9-page article appeared as the cover story of the May 2006 issue of hfm Magazine.more

Taking Care of Your Organization’s Financial Health

This 5-page article appeared in the Jan/Feb 2007 issue of Healthcare Executive.more

Strategies for Navigating the Healthcare Credit Market

This 3-page article appeared in the April 2001 issue of hfm Magazine.more

Using Portfolio Analysis to Define Core Strategic Business Units

This 2-page article appeared in the Summer 2007 issue of Strategic and Financial Planning.more

Managing the Balance Sheet

The lead article in Spring 2007 Kaufman Hall Report more

Taking Care of People Means Taking Care of Business

The lead article in Winter 2006 Kaufman Hall Reportmore

Joint Ventures - From Policy to Post-Execution Monitoring

Developed in collaboration with Catholic Healthcare West, this white paper is aimed at helping organizations implement a best practice process for joint venture evaluation, development, execution, and post-execution monitoring. Specific topics include the current joint venture environment, identifying strategic opportunities, conducting a preliminary assessment, developing a business plan, addressing execution issues, and post-transaction monitoring and reporting.

more

Seven Essentials of Integrated Strategic and Financial Planning: A Capital Markets Perspective

Seven Essentials of Integrated Strategic and Financial Planning: A Capital Markets Perspectivemore

Considering Potential Hospital Affiliations? Act Early to Ensure Choice

July 2006 issue of Executive Insightsmore

Doing a Joint Venture Deal? Be Sure to Address Eight Execution Issues Critical to Success

The lead article in Spring 2006 Kaufman Hall Reportmore

Sailing Into the Perfect Storm: Who Will Come to the Rescue

The lead article in Winter 2005 Kaufman Hall Reportmore

Technology Investments: Is Leasing the Right Way to Go?

April 2006 issue of Executive Insightsmore

Considering a Joint Venture ASC? First Resolve These Four Make-or-Break Issues

January 2006 issue of Executive Insightsmore

Mergers and Acquisitions: A Seven-Step Process for Successful Planning and Execution

This white paper provides healthcare leaders with a practical, seven-step process to integrate strategy planning and transaction execution for successful acquisitions or mergers. more

Managing Capital Structure Through a Comprehensive Debt Management Policy

The lead article in Summer 2005 Kaufman Hall Reportmore

The Impact of Facility Replacement on Market and Financial Performance

October 2005 issue of Executive Insightsmore

Essentials of Strategy: A Capital Markets Perspective

Based on extensive interviews with capital markets leaders, including rating agency, bond insurer, and institutional investor representatives, this white paper identifies six essential concepts related to strategy that make a critical difference to the decisions made by the capital markets.more

Using Metrics to Assess Capital Spending

The lead article in Spring 2005 Kaufman Hall Reportmore

Best Practice Market Analysis: What Financial Leaders Need to Know

February 2005 issue of Executive Insights more

Effective Capital Structure Management: Eight Key Principles and Their Application

The lead article in Winter 2004 Kaufman Hall Reportmore

Finance's Role in Strategic Planning

July 2004 issue of Executive Insightsmore

Integrated Strategic and Financial Planning for Academic Medical Centers

This white paper covers the unique and significant challenges that must be addressed by academic medical centers through a rigorous and effectively integrated enterprise-level strategic and financial planning process. more

Effective Financial Leadership: Walking the Walk vs. Talking the Talk

February 2004 issue of Executive Insightsmore

Value-Added Financial Management: The New CFO

May 2003 issue of Executive Insightsmore

What’s on Your Radar Screen? Add Best-Practice Capital Allocation to Your “Do-or-Die” List

February 2003 issue of Executive Insightsmore

Credit Ratings Matter

Lead article in Summer 2004 Kaufman Hall Reportmore

True Integration of Strategic and Financial Planning

Lead article in Spring 2004 Kaufman Hall Reportmore

Enhancing Effective Leadership

Lead article in Winter 2003 Kaufman Hall Reportmore

True Integration of Strategic and Financial Planning

This white paper describes an integrated approach to strategic financial planning that effectively balances strategic direction/investment with the organization’s financial capabilities.

more

Considering a New Facility? Make the Right Decision

The lead article in Summer 2003 Kaufman Hall Reportmore

Best Practice Financing

This white paper describes a best practice approach to healthcare financing that maximizes access to capital and financial flexibility while minimizing costs and risks in challenging markets. It addresses each aspect of best practice financing, from the setting of objectives for capital financing, to creating an in-depth plan of finance, through securing and then closing financing deals and preparing for future transactions. more

Swaps: What Are They and Should We Be Doing Them?

The lead article in Spring 2003 Kaufman Hall Reportmore

Strategic Budgeting: A Healthcare Imperative

This white paper describes a best practice approach to budgeting that integrates strategic and financial planning, capital planning, and a connected budget development process. The result is a budget that accurately translates strategies directly to operating targets. more

ENUFF Advisor® PC Requirements

more

The New Budgeting Imperative: A Top-Down, Bottom-Up Approach

The lead article in the Summer 2001 Kaufman Hall Reportmore

Capital Allocation The Right Way: Consistent, Concurrent, Connected And Communicated

How do healthcare leaders create sufficient capital resources for strategic initiatives that will lead to sustainable competitive advantage? This white paper describes a best practice capital allocation process that involves the rigorous and consistent application of proven, corporate finance-based quantitative techniques. more

The New Budgeting Imperative

Lead article in Spring 2001 Kaufman Hall Reportmore

Effective Capital Allocation Through Corporate Finance "Best Practices"

The lead article of the Summer 2000 Kaufman Hall Reportmore