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02/27/2018 

Ludi Newsletter

Dwindling reimbursement, regulatory uncertainty, and shifting payment models have hospital leaders navigating a rapidly growing landscape of choices. Here are our notes on what decision-makers need to know in the industry to stay ahead of the changing tides.

Handpicked Articles For You

Gov't Says Health Costs to Keep Growing Faster Than Economy

New York Times

U.S. health care spending will keep growing faster than the overall economy in the foreseeable future, squeezing public insurance programs and employers who provide coverage, the government said. Spending is projected to rise by an average of 5.5 percent annually through 2026, or about 1 percentage point faster than economic growth. We'll see how spend and compensation unfolds in this environment.

HIMSS18 Business of Healthcare Symposium to focus on finding success in a value-based world

Healthcare Finance News

The HIMSS18 Business of Healthcare Symposium is set to share how successful healthcare organizations are reimagining their patient and contracted provider engagement strategies. Pulling from learning objectives, there's a focus on "creating alignment between hospital systems and independent physicians with whom they contract" as well as the legal issues around payment-model strategy.

These 10 procedures hurt your bottom line by causing longer hospital stays

Healthcare Finance News

New research by Premier Inc. has pinpointed 10 diagnoses that spawn the most care variation within the ICU --  as well as unnecessary extensions in hospital stays. Cardiac procedures and sepsis top the list. Interesting to consider in the context of improving the entire revenue cycle.

  Insights From Our Blog

5 Reasons (and counting) your hospital needs to invest in a physician software solution.pngIn our most recent blog, "5 Reasons (and counting) your hospital needs to invest in a physician software solution"we discussed how today’s financial systems don’t make it easy to hit a button and see the investment in one place and how it's important to take on the challenge yourself.

Here are key points: 

Physician administrative agreements: Physician administrative agreements (medical directorships, on call, co-management, research, and employment) are one of the last surviving paper driven processes in the hospital world.

Paper processes are the root of all issues: With a paper process, you cannot monthly analyze your physician spend or account for accrual. If the spend is on paper, how are you measuring what goes out the door in spend to your physician partners? Do the physicians log their time to get paid?

On call tracking is your basic nightmare: Who was scheduled but who actually took it? This is someone’s full time job just chasing on call tracking and “the pay to.” Are you spending your time or paying staff to chase approvers? There’s a job no one wants! Messy paper processes create unnecessary torturing of an already cranky bunch called your physician partner who is, on the whole, weary of administrative processes in general.

Physician contracts are living processes: They are not just shoved away in a drawer (well sadly yes we at Ludi have seen this tactic and it doesn’t work.) The contract represents the work that a hospital and physician will do together to improve patient care. The “work” is done daily, monthly, and annually. Duties in the contract represent the work.

Who approves the payment of the physician? Do you know who approves the payment of the physician? At Ludi, we have seen as many as 34 different steps from when a physician documents her time to when a check may arrive. Who approves the time? Are they actually making sure the paper time log matches what is in the duty? Do the hours line up with the monthly maximum or minimum allowed?

Read the Full Article Here

Compliance Institute - April Panel

Are you planning on going to the Compliance Institute in April? If so, I wanted to extend an invite to a panel presentation I will be doing, I'll be accompanied by Jerry Burgess from Amita and Kelly Walenda from Kennedy Health System in a discussion about why managing physician contracts is like a game of whack-a-mole and how to position your health system to win—we promise it will be worth your while!

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Gauge Your Potential Savings and ROI

Struggling to figure out the spend vs savings of Ludi technology for your hospital's bottom line? An investment of less than 1% of total spend can drive significant revenue for organizations struggling to manage their physician contracts and relationships. Here's a glimpse, based on a few factors at your hospital or health system, of what the potential savings may look like at your hospital.

Calculate Your ROI