Disclaimer
     Coker  Group  and  Northside  Hospital  have 
     produced  this  material  as  an  informational 
     reference    for   conference  attendees.  The 
     contents  of  this  presentation  represent  the 
     views of the authors and presenters and do not 
     necessarily  reflect  the  views  of  Becker’s 
     Hospital Review.
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              Contents
              I.       Current Industry Trends
              II.      Stage I: Strategic Alignment 
                            a.      Physician-to-Hospital Models
                                    –        Joint Ventures
                                    –        Clinical Co-Management Agreements
                                    –        Professional Services Agreements
                                    –        Collaboratives
              III.     Stage II: Clinical Integration
              IV.      The Overall Integration/Accountable Care Strategy for Private Physicians
              V.       Q & A
              VI.      Glossary of Terms
              VII.     Appendix: Strategic Alignment Case Studies
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    I. Current Industry Trends
    Comparative Look at 2013 and 2014
                    2013 Trends                                    2014 Projections
      •   Preparatory year for ACA’s “Full             •  Major ACA provisions rolled out January 
          Implementation Year”                            1, 2014
      •   Increasing efforts toward alignment              – Individual mandate 
          and integration                                  – Comprehensive insurance 
                                                              plans/coverage
      •   Shift in reimbursement                           – Medicaid expansion 
          methodologies (from volume to                    – Meaningful Use Stage II
          value)*                                      •  Accelerated movement within 2013 
      •   Care process delivery                           trends 
          transformation initiatives*                  •  Big year for information technology 
      •   Progress within ACO/CIN                         (“IT”)
          development/population health                    – ICD – 10 (potential 2015 
          management (“PHM”) efforts                          implementation)
                                                           – PHM solutions
      •   Primary care development efforts to              – On-premise to cloud-based systems
          combat workforce shortages                   •  Growth of clinically integrated networks
         *Processes furthered during the year; still early-on in development
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   Hospital Provider Concerns in 2013
    Please rate the following factors in regard to the strategic 
              concerns of your facility.  
                                    • Reimbursement and alignment 
                                      rated as the top two most 
                                      important concerns of a health 
                                      system
                                    • Alignment is still considered a 
                                      primary strategic response to the 
                                      continuing financial challenges 
                                    • Alignment is also Stage I of an 
                                      organization’s accountable care 
                                      strategy (without alignment, 
                                      clinical integration is highly 
                                      unlikely)
     Source: Merritt Hawkins and Trinity University Department of Healthcare Administration, “2013 Survey of 
     Alumni Satisfaction and Health System Trends” 
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