THE ADVI ANGLE

Vice President of Policy Lindsay Bealor Greenleaf explains why the latest proposed rule for Medicaid would actually raise out-of-pocket costs for patients in commercial plans with the Morning Consult

Vice President of Policy Lindsay Bealor Greenleaf explains why the latest proposed rule for Medicaid would actually raise out-of-pocket costs for patients in commercial plans with the Morning Consult

ADVI Vice President, Michael Kolodziej, caught up with the American Journal of Managed Care to discuss expected upcoming trends in the oncology practice

“The cancer landscape has been really interesting the past several years. There’s little doubt it’s changed, although for me, not fast enough. I think we will see continued interest in at least 2 areas.”

ADVI Reviews Hospital Chargemasters for Best Practices

In 2019, the government placed new transparency requirements around hospitals’ posting their standard list of prices (chargemaster). ADVI reviewed the chargemasters for the American Hospital Directory’s top 25 hospitals by revenue. ADVI’s report highlights areas both where efforts were particularly strong and where improvements could be made, in the hopes that these lessons can be used by hospitals and as data points for CMS’ next effort to further increase health care transparency.

Community oncology at a glance; How we got here and where we are going

“Looking back on the forces that have shaped how cancer care is delivered, it is clear that solutions emerge in response to both market opportunities and threats.

Community oncology largely arose because of the ability of oncologists to provide an efficient and sustainable delivery model for cancer patients in lieu of the hospital model. Hospital acquisition of practices was a direct consequence of 340B and an indirect result of practice burdens imposed by meaningful use and aggressive payer management strategies.”

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“The fact that many practices are still not affiliated with a hospital or a network certainly does not mean that they will not do so in the future. To the contrary, the ability of a small practice to succeed in this increasingly complex cancer care delivery system is questionable.

Even a large sophisticated practice may lack the resources and expertise to succeed.”

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“The dominant network of the future will provide the tools necessary to succeed in the oncology business model of the last 25 years as well as the tech and data skills to succeed in whatever business model predominates for the next 25.”