A transformed healthcare system needs new revenue models

2014 will be a historic year for healthcare. Not only will it mark the watershed moment for Accountable Care Act (ACA) implementation as the individual mandate takes effect, but the rate of growth for healthcare costs will be at some of the lowest levels since the government began measuring national health expenditures in 1960.

Q2 2014 US health services deals insights
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44% Percentage of US employers
considering offering high-deductible
health plans as the only benefit option to their employees.

(Source: PwC Health Research Institute)
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Analysis and trends in US health services activity 2013 and 2014 outlook
Analysis and trends in US health services activity 2013 and 2014 outlook

Steve Elek, PwC Global Health Services Deals Leader, discusses themes in today's health services market.

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For many years revenue cycle has only
focused on process and interactions with the
payer. The patient has been an afterthought.
The patient at the center of
the revenue cycle.


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From fee-for-service to accountable care

Today’s revenue cycle was built to accommodate the fee-for-service environment. We treat patients as episodes of care-establishing accounts, providing care, and accounting for that care and its payment. We deal with third-party payers, are concerned about the patient experience, and are constantly looking for ways to automate through new systems. That world is changing, driven by increasing costs, the desire to be more outcomes-driven, and the need to manage care across the continuum of providers. We need to evolve from a culture of generating revenues to one that effectively manages expenses.

 

Q1 2014 US Health Services Deals and Insights quarterly

Our quarterly updates provide insights into deal activity in the U.S. health services industries. This issue also spotlights the important role of the customer plays in the evaluation of healthcare transaction strategies.
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PwC Introduces our Virtual Business Office (VBO)

Hospitals are making significant investments in upgrading revenue cycle systems, but budget constraints can stretch resources. Listen to John Dugan and Steve Lutfy, who work in our US Health Service practice, address the market need and the capabilities of virtual business office available to healthcare providers.

 

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