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Posts in Business of Healthcare
Is remote work a long-term fit for financial services?

Companies seem to still be determining what respective value remote versus in-person work offer to their organization.  Where any given organization lands on this issue depends on a number of factors, and though strong opinions abound, it isn’t an easy question to navigate.

From my vantage point as a financial executive in the healthcare industry, I believe virtual financial services offer tremendous value to organizations—to a point.

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Death by data: How to avoid analysis paralysis

By Pamela J. Gallagher

The modern healthcare industry is dependent on data. The steady improvement of how data is collected and analyzed has allowed us to make great strides in providing quality care and improving the health of our patients. At the same time, the pandemic has highlighted how this dependence on data can lead to “analysis paralysis” that can harm communities' health and well-being.

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Hire to get the job done, not to fill a position

By Pamela J. Gallagher

In the midst of the Great Resignation, staffing is complete chaos. Across industries, organizations are rushing to fill vacancies so that customer service (and profits) don’t skip a beat. In the urgency of the moment, everyone is looking to hire permanent employees to replace the ones that resigned, but I think businesses would benefit from taking a pause to evaluate their true needs and rethink how they approach hiring.

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In healthcare finance, the numbers alone are not enough

By Pamela J. Gallagher

Healthcare organizations spend tens of millions on sophisticated data collection and storage, yet it is hard to define what data is worth to an organization. What is its true value? This depends entirely on how the organization uses it. If an organization does not understand how to interpret and make use of their current and historical data, they will not optimize the return on this significant investment.

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Patients and hospitals benefit when hospitals know the actual cost of their services.

By Pamela J. Gallagher

Hospitals and health systems have spent the past decade responding to patient and government demands for increased price transparency, and the demand only continues. While the healthcare industry has made strides in ensuring patients know the cost of their care up-front, consumer expectations are growing to include that hospitals should be able to explain how their costs are determined.

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Retail newcomers are great for healthcare, but bad for health systems

By Pamela J. Gallagher

Patients have been begging for affordability for decades, and the healthcare industry’s reluctance to innovate and adapt to patient demands has left a door open for retailers to move into the healthcare business. I believe this will be great for healthcare, but potentially disastrous for health systems.

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Outsourcing: Healthcare’s ‘out-of-the-box’ solution

By Pamela J. Gallagher

In recent decades, many companies have adopted the maxim, “Do what you do best, and outsource the rest.” From the ability to focus on the core of their business to gaining outside expertise to boosting their quality of service, there are many reasons outsourcing may be appealing to an organization.

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Interims keep companies moving forward during times of crisis

By Pamela J. Gallagher

Hiring an interim executive has long been thought of as a band-aid solution on the heels of an unexpected resignation or a way to give a potential new leader a trial run before committing. But with more businesses taking on flexible staffing approaches combined with the ups and downs of the economy over the past 15 years, companies have realized the financial and strategic benefits of engaging an interim executive rather than seeking to make an immediate permanent hire.

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Charges are irrelevant to the patient’s bottom line

By Pamela J. Gallagher

With increased calls for healthcare pricing transparency from consumers and government entities alike, hospitals’ chargemasters are moving from proprietary information to public knowledge.  However, putting chargemasters under the microscope has not led to the clarity that patients are seeking regarding quality care at a price they can afford. 

Nearly two-thirds of physician respondents in a 2019 NEJM Catalyst survey said that patients do not have enough information to affect the cost of their own healthcare–related decisions, and more than three-quarters of respondents say that assessing the total cost of care is extremely challenging for patients.

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Healthcare execs, do you know what’s in your chargemaster?

By Pamela J. Gallagher

 

A hospital’s charge description master (CDM), or chargemaster, is often referred to as the “heart” of the healthcare revenue cycle. It includes codes for every procedure, material used, medication, and service that a healthcare organization provides its patients. It is the structure that drives the hospital, and is the starting point for billing patients and insurers and complying with public reporting.  A typical health care system chargemaster may contain 15,000 to 25,000 entries, according to Becker’s Hospital Review. 

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Want to make the right permanent hire? Hire an interim first.

By Pamela J. Gallagher 

When an executive leaves unexpectedly or a major personnel changes occur in your organization, the void is felt at all levels of the organization.  Rather than rushing to return to a feeling of equilibrium, I believe one of the best ways to make the right permanent hire and position your organization for long-term success and stability is to first hire an interim manager.

Interim managers do more than just “hold down the fort” until a permanent hire can be made.  Interims bring their expertise, perspectives, adaptability, leadership and motivation skills, and entrepreneurial mindset to the challenges your organization is facing.  An interim executive comes in with an analytical mind and unbiased view to help your organization achieve sustainable results in a short amount of time, allowing you the time to iron out persistent organizational issues and assess your organization’s needs so you are better positioned to make hiring decisions with purpose and wisdom.

Gain fresh perspectives and re-focus on your mission.

Getting the objective outsider view that an interim can provide is important for the long-term health of your organization, especially if your organization tends to promote from within. Often, when a management position becomes vacant unexpectedly, organizations will rush to promote a promising lower-level manager, even if he or she still hasn’t fully developed the skills to be successful in the vacant position. Hiring an interim manager into this position for a short time before you hire internally allows your organization to work out process issues, for example, while bringing the potential internal hire up to speed. The interim can bridge that gap, setting up the internal hire and your organization for success.

Times of transition provide the opportunity to consider who you are as an organization and whether processes currently in place promote the organization’s mission and values. A lack of crisis doesn’t mean everything is running smoothly. When growth slows, mission creep sinks in, goals go unreached, or when urgent issues distract your organization’s leadership from mission-centered issues, an experienced interim’s perspective could be just the breath of fresh air your organization needs to refocus on its unique identity.

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Navigating the Outsourcing vs. Hiring Dilemma

By Pamela J. Gallagher

Among the dilemmas facing healthcare executives, the decision to hire more in-house staff or outsource non-core functions of an organization is becoming increasingly common and complex. In the healthcare industry, business process outsourcing (BPO) can allow hospitals to increase their focus on what they do best: caring for patients and serving them well.

BPO includes benefits like lowering costs, increasing efficiencies, increasing focus on core business functions, and partnership with trusted experts in a wide variety of front- and back-office functions. But outsourcing has a cost that is more than just financial. Working with a BPO company requires releasing control, and if the relationship doesn’t work out, it can be hard to recover, both for your organization and your people.

Is business process outsourcing (BPO) right for my organization?

How do you know if it makes sense to outsource a function of your hospital or healthcare company?  Start by weighing the costs and benefits to determine if outsourcing makes more sense financially than hiring or training an in-house employee. Ask yourself questions like:

  • What specific process or function does my organization need performed? Where is this function lacking in efficiency or cost effectiveness?

  • Does my organization currently have the skill set needed to perform this function internally? Locally?

  • What is our budget for this function, process, or service? What can we afford?

  • How often and for how long do we need this function performed?

If it has been determined that it is financially viable and necessary to your company running efficiently to outsource a service or process, here are some things to consider as your company explores outsourcing options.

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