The path to cost transformation.

A healthcare organization's efforts to strategically transform its cost structure in preparation for value-based payment invariably must begin with a systemwide assessment of cost and quality. Such an assessment should focus on three categories of performance improvement activities: margin improvement, business restructuring, and clinical transformation. A work-team approach is recommended, where teams with multidisciplinary representation assume responsibility for assessing specific areas (e.

Helping individuals obtain health coverage under the ACA.

Hospitals should consider adopting eight strategies for helping individuals obtain health coverage: Design enrollment procedures and practices that are transparent, consistent, and supported by effective tools. Determine optimal levels of staffing and support for eligibility and enrollment functions. Educate patients on health coverage options.

Joint ventures: to pursue or not to pursue?

Hospitals should carefully select joint venture partners. The joint venture evaluation process should involve a high-level screen of strategic opportunities. Hospitals should develop a full business plan for the joint venture.