Learn how Maria Todd can help with surgical cost containment for hospitals ASCs so you can maintain margin integrity under bundled price reimbursement....
Continue reading
Private Equity Firms Buying Ortho Practices – What’s That About?
I've been helping private equity investors focus on orthopedic surgery as federal regulators and insurers move more of these treatments away from hospitals. ...
Continue reading
Nearly 36% of payments tied to FFS Alternatives
Offering alternative value-based payment options to payers differentiated you and delivered competitive advantages. Now, if you don't, you'll be left out. Are you ready to risk that?...
Continue reading
High-Value Health Care: The Intersection of Quality, Affordability and Outcomes for Employers
Employers are uniquely positioned to positively influence the quality and cost of health care through direct-with-employer contracting. But they aren't sure whom to call and how to proceed. Neither are the providers......
Continue readingLooking Back Ten Years: Managed Care, Medical Tourism, and more
Looking Back at the Past Ten Years: Managed Care, Medical Tourism, Concierge Medicine and Bundled-priced Surgery Case Rates...
Continue readingUS Domestic Medical Travel on the Rise in Rural Markets
by Maria K Todd MHA PhD In the USA, according to the census data from 2016, rural areas cover 97 percent of the nation’s land area, home to 19.3 percent of the population (about 60 million people). By this, I refer to the official definitions developed by the Census Bureau which identifies two types...
Continue readingReference-based Pricing Gets Put to the Test in Virginia
Make no assumptions about reference-based pricing! Not yet, anyway… Reference-based pricing in healthcare is an interesting concept. What it is and how it works: Reference-based pricing is a relatively new healthcare reimbursement model where employers contract with a company to negotiate payment rates outside a traditional HMO or PPO contractual relationship and...
Continue reading#AskMariaTodd: The Proliferation Trajectory of Community-based, Freestanding Emergency Departments
Recently, I’ve been taking calls from venture capital investment funds and bankers curious about my impression and experience with community-based freestanding emergency departments. Most of the questions are similar: Why this, why now, what’s next, hurdles and obstacles? They also want to know if I can share any...
Continue readingThe Cadillac Tax suspension and what that means for employer paid medical travel
The Affordable Care Act’s high-cost plan tax (HCPT), popularly known as the “Cadillac tax,” is a 40 percent excise tax on employer plans exceeding $10,200 in premiums per year for individuals and $27,500 for families. This caused employers and labor unions who were operating self-funded health benefit plans (Employer Sponsored...
Continue reading