The Biden administration’s Executive Order on Promoting Competition in the American Economy calls for the Department of Justice 和 Federal Trade Commission to “enforce the antitrust laws vigorously 和 recognizes that the law allows them to challenge prior bad mergers that past Administrations did not previously challenge.” It notes that “hospital mergers can be harmful to patients 和 encourages the Justice Department 和 FTC to review 和 revise their merger guidelines to ensure patients are not harmed by such mergers.”
这样的言论可能会触及一些医院高管的痛处. bet8网站备用一直在向区域集中, 超级地区, 国家体系建立在获得规模经济的战略之上, 加强bet8娱乐, 改善获取途径. 然而, in few instances have these systems elevated the performance of their individual hospitals or returned the benefits of scale to consumers in terms of lower costs.
但它并不一定是这样的. And health systems—especially very large health systems—are now equipped to transfer the benefits of consolidation to patients, 社区, 雇主, 和纳税人. 问题是,他们会?
规模可以为bet8网站备用及其所bet8娱乐的社区带来价值. Scale is needed to achieve a level of market indispensability characterized by an integrated provider network able to invest in data analytics, 承担风险, 并提供对患者友好的物理和虚拟护理环境. 但规模——或者说规模——并不能保证相关性. 更大并不意味着更好. Only those health systems that grow by strategically pursuing vertical integration into asset-light delivery mechanisms 和 ensuring a deliberate 和 structured approach to achieve system performance will be positioned for clinical 和 financial success that results in consumer benefit.
Below are three core strategies to pursue to build scale 和 improve performance.
1. 垂直扩展以促进健康和健康
大型bet8网站备用需要变得更大,这样他们才能将大数据用于大用途. Many of the most useful applications of the data health systems are gathering require a comprehensive network of care. 网络越全面,数据就越可靠. This data can empower health systems to not only underst和 their patients when they are sick but offer insight into the general well-being of the populations they serve. 垂直整合提供了这种能力.
Broadening a health system’s perspective of vertical integration allows for management of an even greater portion of a community’s health 和 well-being. Health systems with a patient-centric focus 和 a population-based care model will achieve a competitive advantage when applying data. A health system seeking to develop lifelong relationships with its customers must first make sure it is filling all its service gaps so patients don’t need to look elsewhere for care.
So, ensuring a comprehensive healthcare delivery system with superior customer satisfaction 和 convenient physical 和 digital touch points is task one. 但是为什么要停在这里呢??
Rather than limiting the health system to the traditional continuum of care 和 those services reimbursed by traditional payers, consider moving to a continuum of life where the health system’s role is to partner with customers in achieving 和 maintaining health 和 wellness.
New revenue sources with higher margin potential than the health system’s core business become apparent when the health system considers itself part of the $14 billion workplace wellness industry, 300亿美元的健身俱乐部产业, 以及价值1200亿美元的健康房地产行业. This expansion of the scope of services—provided either directly or through affiliations—allows a health system to fortify its relationship with consumers through more consistent contact while achieving profitable growth.
2. 投资轻资产bet8娱乐
拥有的东西和以前不一样了. 十年前, 来自能源等重资产行业的公司, 矿业, 制造业, 零售业跻身十大上市公司之列. Today’s highly valued firms are asset-light companies—firms in technology 和 金融. These firms generate revenue while owning relatively few fixed assets; that is, they have a high fixed-asset turnover ratio (revenue divided by net fixed assets). Among the companies with the highest fixed-asset turnover ratios are health insurers.
Asset-heavy businesses have high fixed costs 和 require consolidation to build market scale 和 high degrees of efficiency to drive return on assets. 与此形成鲜明对比的是, asset-light businesses have low fixed costs 和 derive their return on assets from broad, 高效的分销网络和高利用率.
满是昂贵设备的大型建筑使bet8网站备用不堪重负. 尽管那些大型建筑需要维护, health system investments should be focused away from bricks 和 mortar 和 toward the delivery of ambulatory care, 虚拟bet8娱乐, 和 other asset-light sectors that broaden their health 和 wellness care services.
3. 实现系统性能
Multiregional 和 national health systems are working to function more as operating companies 和 less as holding companies. 挑战是巨大的, 和, 在很多情况下, 这些bet8网站备用取得的进展应受到赞扬.
在追求系统性能时,考虑以下五个指导原则:
- 不要指望规模来创造性能.Achieve performance 和 then scale by integrating new organizations 和 new growth into your high-performing business. Health systems are currently experiencing record-low operating margins 和 face a growing proportion of care reimbursed below the cost of providing it. Those that cannot enhance the value they provide will fade away or be absorbed into those that can.
- 让bet8网站备用领导推动全系统减少护理差异.The nation’s best-performing hospitals are those with a high degree of physician leadership, bet8网站备用在手术中有很大的发言权, 和 administration is seen as an enabler of the improvements physicians seek rather than a barrier. bet8网站备用需要被授权及时支付费用, 质量, 以及能够支持建立共识和指导决策的成果数据.
- 优化集中式共享bet8娱乐.标准, 非战略功能,如收入周期, 患者联络中心, 供应链, 金融, 法律, HR, IT应该在系统层面进行管理. 必须优化bet8网站备用运行的具体细节, 加入系统的组织需要有效地整合.
- 建立有效的整合策略.定义一个驱动你的整合策略的核心目标, 然后衡量每一个支持这一目标的机会.
- 统一文化、战略和品牌. System performance is contingent on the system having a unifying culture—not one culture for the hospital, 医疗集团的第二种文化, 以及不同设施或地区的不同文化. 这种独特的文化必须与系统的品牌形成互补. 当文化, 策略, 品牌是一致的, 所有利益攸关方都了解bet8网站备用的目的, 这个目的指导着所有的行为, 决定, 和交互.
您的组织是否定位于临床、财务和患者的成功?
这篇博文节选自我们的 我们相信 series, a collection of strategic perspectives on the changing dynamics of the US healthcare system.
阅读白皮书出版于2021年9月9日