A Innovative Healthcare Partner for a Dynamic Industry
We recognize that nearly 20% of our national economy is undergoing a radical operational and financial transformation and we recognize that our clients share the common challenge of navigating this unprecedented journey to higher quality at lower cost. For those healthcare organizations that wish to thrive in this new economy, a new level of dialogue and collaboration will be required where historic competitors will become allies, shared accountability will be the norm and markets will change in an instant.
Starting that dialogue with DHG Healthcare is the first step towards a responsible, productive and energizing approach to this shift. It mandates a partner that inspires courage and brings honesty, insight and a forward-thinking point of view.
DHG Healthcare Consulting - The Resourceful Partner
Our consulting business includes a distinctive capabilities and solutions portfolio sharply focused on critical business issues facing healthcare organizations in today’s transformative environment.
We have aligned our organizational structure to support transformational themes related to the achievement of ‘Risk Capability,’ which we believe is critical to the successful future of our healthcare clients.
By organizing around capabilities and solutions we are able to rapidly deploy multi-functional teams to guide our clients through the key challenges of today and tomorrow.
The breadth and depth of the DHG Healthcare Consulting team enables us to rapidly deploy multi-functional teams skilled in assisting our clients in addressing the key challenges of the day and advancing the transformational dialogue. These teams are focused along the key transformational themes of the healthcare industry:
Risk Capability: Beyond the Tipping Point
The healthcare ecosystem (including providers, payers and employers) is undergoing a radical shift from a traditional fee-for-service economy towards one that is value-based with vastly increased expectations for quality and cost. While the speed at which individual markets tip from one economy towards the other has varied, we believe that the healthcare industry, as a whole, has passed the tipping point. At this point and beyond, healthcare organizations will be facing greater risk for payment of services despite the impact to the organization, both financially and operationally.
We believe that risk capability is the new measurement by which healthcare providers will thrive or struggle. This demands the creation of operational playbooks that enable organizations in specific markets to advance towards risk capability. As illustrated below, these game plans are unique to each organization and market – and responsive to specific execution beyond the tipping point.
Read more about Risk Capability here.
Highlighted Service Offerings
Bundled Payments and Payment Models
Alternatives to fee-for-service continue to grow increasingly important and common in the healthcare reform era. DHG Healthcare's thought leaders on bundled payments are helping clients every day with both the immediate opportunities of Bundled Payments and Payment Models for Care Improvement (BPCI) and Comprehensive Care for Joint Replacement Model (CJR), as well as, other alternative payment models.
Read more about our bundle payment approach here.
DHG Healthcare’s four-phase approach addresses the clinical and business processes that will be impacted by the ICD-10 transition, including patient access, care delivery, health information management, patient financial services, finance and operations, and information technology. Failure to effectively manage the transition to ICD-10 will significantly impact an organization’s cash flow and financial viability.
The DHG Healthcare four-phase approach and components to ICD-10 transition and success are:
- Phase 1: Assess Impact – Surveys, interviews, and impact assessment
- Phase 2: Identify Options – Strategy development and cost definition
- Phase 3: Develop Playbook – Implementation plan, training, and governance
- Phase 4: Create Value – Implementation assistance and program management
No matter the readiness level of your organization for the transition to ICD-10, DHG Healthcare can help implement the right plan for each unique situation.
Bill Hannah, Principal Bill.Hannah@dhg.com (404)575.8291
Medicare Bad Debt
DHG Healthcare brings a combination of experience, resources and technology that yields success with Medicare bad debt engagements. We assist providers across the care continuum in establishing a customized and compliant process to accurately identify and document Medicare bad debt for current or prior years. Through the use of the latest technology, we match the internal detailed patient data against the Medicare PS&R detail. The end result is a bad debt log for support and final amounts for cost report filing.
DHG Healthcare has also designed:
- An internal process to capture the necessary bad debt data from clients and external sources to assemble Medicare bad debt logs on a provider’s behalf
- An automated process to reconcile provider bad debt logs to detailed Medicare PS&Rs
- A policies and procedures assessment to evaluate the compliance of the provider’s internal policies and processes as they relate to Medicare and other payers.
Trent Messick, Partner Trent.Messick@dhg.com (336) 714.8138
More About DHG Healthcare
Our People: The Right Team
Experienced, knowledgeable and credible, DHG Healthcare professionals are a diverse and accomplished group of trusted advisors delivering the highest level of quality service. Our service teams understand the challenges facing the healthcare industry and are prepared to assist providers with the rapid changes health reform is accelerating. Click People above to read more about our team.
Our Transformational Perspective: Achieving Risk Capability is Critical to Future Success
Healthcare providers are preparing to accept greater risk for payment of services. Increasing an organization’s Risk Capability requires a focus on three critical success factors: Enterprise Intelligence, Revenue Transformation and Clinical Enterprise Maturity.
As the national healthcare practice of DHG, DHG Healthcare serves clients across the United States with focused local presence in: Atlanta, Georgia; Cleveland, Ohio, Nashville, Tennessee, Metro DC; and throughout the Carolinas.