Professional Documents
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Calendar
November 15
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January 6-8
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12 P.M. CST
! !
The New Deal: Private Equity In Healthcare M&A ! Please join Shane Passarelli, senior vice president of the Healthcare Finance Group, and
James Unland, President of the Health Capital Group, to discuss the movement of private equity funds into the acquisition of hospitals and where this trend may be leading:
http://www.healthwebsummit.com/ppma111711.htm
a HealthcareWebSummit Event
co-sponsored by
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NEWS
Walmart (Continued from Page One)
Page 2
Advertise Here
(877) 248-2360, ext. 2
In Brief
Internal Medicine Group is Bought by NorthShore System
NorthShore University Health System has acquired a 15-physician practice in Highland Park, Ill., in the wealthy northern suburbs of Chicago. Ravinia Associates in Internal Medicine will join a growing number of phycisians practices that have thrown their lot with NorthShore. The practice is close to NorthShores Highland Park Hospital, and only six miles from Lake Forest Hospital, which was acquired by Northwestern Memorial HealthCare, a rival to NorthShore. NorthShore now has about 740 doctors in its physicians group. Robert Block, M.D., president of the physicians group, said Ravinia Associates needed to get out from under rising operational costs and the problems of administering the practice. NorthShore could run the practice more effectively than the doctors themselves, he said.
Continued on Page 3
be offered include clinical care, diagnostics, If I was a primary-care physician (or preventative care, and wellness products. association) I would boycott Walmart, and The RFI provides a list of chronic diseases direct my patients away from their pharmacy, Walmart wants to tackle, among them Dwyer said. diabetes, asthma, obesity, COPD, Glen Stream, M.D., president of the osteoporosis, HIV, arthritis, kidney disease, American Academy of Family Physicians in and high cholesterol. Its list of preventative Leawood, Kan., said he would be gravely and diagnostic interests run a full gamut of concerned that this is going to fragment care. services. At a time when we now clearly understand According to an article in the McKinsey that people having a source of comprehensive Quarterly from 2002, Walmart effectively and continuous care in one location is a revolutionized the retailing industry, with feature that improves quality of care and pricing and productivity benets that spread drives down costs. throughout the U.S. economy known as the Retail analysts are skeptical. It is a very, Walmart Effect. Its innovations in information very different business than retailing, said technology, supply-chain management, Colin McGranahan, an analyst with Sanford distribution set the pace. And it also became Bernstein. It requires extremely different famous for hardball tactics with suppliers that competencies, not many of which Walmart sliced their prot margins while making them has today. Its a business and a market that lots dependent on Walmart for sales volume. of very smart people have tried to streamline With a market share of 9% in general over time, and its ummoxed most of those merchandise in 1987, Walmart enjoyed a folks. productivity advantage of 40% over its Walmart as a corporation and employer competitors, measured by real sales per has a troubled history in the healthcare arena. employee. By 1995 it had Long notorious for not offering attained a share of 27% and health insurance for the vast enjoyed a productivity premium majority of its low-wage of 48%. employees, it indirectly steered Walmarts primary-care them toward Medicaid and concept is a really ambitious indigent care programs. For many re-imagination of what you can years Walmart offered insurance do in a retail clinic, said Bob to part-timers only after two years Kocher, M.D., a former of employment. Under external McKinsey consultant, White pressure, the company altered that House advisor, and Brookings requirement to one year in 2006. Institution scholar, in a In October the company William M. Dwyer conversation with NPR. It backtracked from that policy, Healthcare Futurist should lead to better prices for saying new part-time workers who patients. Health-care is one put in fewer than 24 hours a week place where prices seldom fall would be ineligible for insurance, and theres not much competition around while premiums would go up steeply and value. coverage would be slimmed down. William M. Dwyer, a healthcare futurist The current health care system is based in Kansas City, Mo., said the Walmart unsustainable for everyone and, like other concept doesnt look the same as the CVS or businesses, we've had to make choices we Walgreens play. wish we didn't have to make, said Walmart It could take retail medicine to a whole spokesman Greg Rossiter. new Steve Jobs era, particularly in primary Walmarts U.S. sales have been stagnant for care, he said.! They will not be hesitant to the past two years. Some commentators hire physician assistants and nurse suggested that moving into health clinics practitioners and get the cost down would be a way to attract more shoppers into dramatically. the store who would buy general If Walmart brought the same tactics to bear merchandise. on medicine as in general retailing, with the Walmart is being advised in this process by same result, it could be devastating not only PricewaterhouseCoopers. A copy of all for suppliers but also for traditional physicians submissions is to be directed to a director at practices, especially in rural areas where PwC whose name and email address appear Walmart has a strong presence. on the RFI.
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NEWS
Page 3
Advertise Here
(877) 248-2360, ext. 2
*For our ads, not your hospital
In Brief
others, and terminate coverage for a year if a family misses a payment. This year federal payments will fall because of a reduction in federal aid to the states. That leaves the state government on the hook for a larger share of the total expenses. The proposals are intended to save $298 million a year. A single parent with two children who earns more than $27,795 a year would have an annual premium of $1,390, compared to $120 before the change. State Rep. Tamara Grigsby, a Democrat from Milwaukee, predicted that many poor families would leave the program because they dont have enough money to pay the new premiums.
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OPINION
Page 4
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MARKETPLACE/EMPLOYMENT
Page 5
To apply and learn more, please visit: http://www.jobsatrush.com/. Please reference job # 2011-1635, and mention Payers & Providers
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MARKETPLACE/EMPLOYMENT
Page 6
Develop, implement & manage the managed care strategic initiatives & contracting with national 3rd party payers
Develop & implement sales & broker/consultant strategies
Develop managed care strategic plans & marketing forecasts Develop strategy to maximize the effectiveness of contractual agreements on quality,
nancial viability & customer satisfaction
Plan & promote favorable public relations with payors Maintain dialogue with managed care payors Provide analysis & review of managed care contracts Develop tools & processes to maximize the nancial return of managed care contracts Track & trend outcomes from managed care contracts Support individual facilities in contract administration & negotiations
Masters Degree in Health Care, Public Health or Business Administration preferred; min. 5 yrs. recent experience in a senior level position dealing with managed care strategies required. Must have demonstrated comprehensive knowledge of healthcare systems; existing relationships with large payors in terms of managed care contracting; highly developed communication & organizational skills; ability to work collaboratively & credibly with payors to achieve common objectives. Position is Chicago-based. Relocation will be required if not currently residing in the area. NSH offers a highly competitive compensation & benets package. For condential consideration, please e-mail resume to:
Page 7
CAN HELP.
We publish advertisements for those seeking new career opportunities for just $1.25 a word. If you prefer discretion, well handle all responses to your ad. Call (877) 248-2360, ext. 2, or e-mail advertise@payersandproviders.com.
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