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GLG News by General and Acute Care Hospital Economic Experts

Richard Baland, Partner
Richard Baland, Partner
B2B CFO
Analysis of: Aging Baby Boomers Will Drive Demand for Healthcare Properties Over Next Decade, Grubb & Ellis Report Reveals (www.bio-medicine.org)
For one reason, this industry has outperformed the commercial average for the most recent eight years. Secondly, demographics are driving medical services. More of the population is aging. People are living longer. And Medical technology is improving at a rate that provides new and better healthcare...
Analysis of: Aetna to Delay Reduced Colonoscopy Coverage (online.wsj.com)
When a member seeks medical care from a participating provider in their HealthPlan, they try to select a contracted specialist and a contracted hospital.  Usually a member does not select the Anesthesiologist, because they usually don't even think of this provider treating them.   HealthPlans...
Analysis of: Managed-care company sees benefits of pay-for-performance (www.tennessean.com)
The life of a member with a managed care plan may only be 12 months and then their employer may  select another Payor.  In tracking the progress of a member's health, there is a delay of at least 90 days to capture the claims data.  Analyzing the data for a true improvement...
Analysis of: Cardinal Health Could Be Regaining Its Strength (online.wsj.com)
Cardinal Health with George Barrett as Vice Chairman has brought renewed focus on its medical supplies business. It has had early renewal of its contract with Walgreen and has increased generic portfolio with Cardiolite. Its generic drug distribution business has major growth potential.
Richard Baland, Partner
Richard Baland, Partner
B2B CFO
Analysis of: Operator of Walk-In Clinics Shuts 23 Located in Wal-Mart Stores (www.nytimes.com)
Yes, WalMart has a large pool of patients. And there are competitive advantages with regard to the convenience of a pharmacy and over the counter remedies. However, having patients is only one piece of the puzzle. The business of medicine is more complex than merely having patients or customers.
January 28, 2008
Post Election Trauma
Analysis of: Hospital industry may hit rough patch, Moody's warns (www.chicagotribune.com)
The status quo will be maintained during the election year.  But, what will happen to the funding for physicians and hospitals after the election?   Healthcare and defense are the two largest components of the Federal budget.  Congress will likely act to gain budget reductions in both...
Richard Baland, Partner
Richard Baland, Partner
B2B CFO
Analysis of: Medicare | Some Hospices Forced To Repay Medicare for Exceeding Reimbursement Limits as Patients Live Longer Than Expected (www.kaisernetwork.org)
The government has paid hundreds of millions less as a result of these measures. Now, the government has targeted the Hospice industry. Of course, there is no physician that can predict how long a patient will live. Physicians sign orders for Hospice patients that are terminal. The physician cannot...
Richard Baland, Partner
Richard Baland, Partner
B2B CFO
Analysis of: Crouse Hospital's Turnaround Shows There's Hope For Distressed Hospitals (www.hfma.org)
Board restructuring, Implementation of appropriate information systems, Productivity and staffing, Debt restructuring, Revenue cycle improvements, Supply expense reductions, New contracts and capital equipment approval processes are the Turnaround areas that scorecards...
Richard Baland, Partner
Richard Baland, Partner
B2B CFO
Analysis of: Improving Emergency Department Copay Collection (wiki.hmccentral.com)
The first step is to find out what copays are in the Emergency Room. A simple Excel spreadsheet needs to be developed showing what Medicare, Medicaid, Commercial insurance and managed care companies require as a copay. The second step is to communicate to the Admissions department, insurance department;...
Richard Baland, Partner
Richard Baland, Partner
B2B CFO
November 7, 2007
Swing Bed Strategy
Analysis of: The Swing-Bed (www.rwjf.org)
Some hospitals review swing bed utilization as follows: 1)Initial review within 24 hours to see if inpatient criteria are met. Criteria incorporate Severity of illness and Intensity of Service. Severity of Illness can be shortness of breath, multiple effusions or other symptoms. In other words, the...

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