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Allen Miller, Principal and CEO, Cope Health Solutions Andrew Snyder, MD, Principal and CMO, Cope Health Solutions

2020 Healthcare Forecast: 4 Key Trends and 10 Essential Strategies


By Allen Miller
Principal and Chief Executive Officer, COPE Health Solutions
By Andrew Snyder, MD
Principal and Chief Medical Officer, COPE Health Solutions


The new decade has barely begun, but already 2020 is shaping up to be another pivotal year in healthcare. With all the innovation taking place in payment models, service delivery, technology and other areas, it is easy to lose sight of the fundamental drivers of the emerging healthcare industry. This article outlines four rock-solid, multi-year trends that continue to define the biggest opportunities and challenges facing both providers and payers. It also lays out 10 strategies that are essential to success in healthcare in 2020 and in the years ahead. Read article
Group of business meeting at a meeting

Meetings are a Virus


By James Hanson, MD
Director, Lean Health Care Practice, Moss Adams

As I see so many people struggling this winter with bad colds and flu, I have made a clinical observation: The signs and symptoms of a highly contagious virus are similar to what I’m seeing in the current epidemic of meeting overload that is running rampant throughout our health care delivery sites. The meeting virus is spread through both direct contact and through electronic communication, especially e-mail. As a result of its virulence and means of transmission, hospital leaders are highly susceptible.  Read article
Male Nurse talking with Senior Patient

Do We Really Need Health Care, After All?


By Craig B. Garner
Founder, Garner Health Law Corporation

More than seven years ago, U.S. Supreme Court Chief Justice Roberts saved the Affordable Care Act (the “ACA”) by upholding the constitutionality of the individual mandate through Congress’s authority to “lay and collect Taxes.” Rejecting the Commerce Clause and the Necessary and Proper Clause as a means to sustain the individual mandate, the Court acknowledged that Congress’s taxing authority can exceed its power to regulate commerce, but the power to tax affords Congress less control over individual behavior than its power to regulate commerce. At the time Chief Justice Roberts concluded Congress can only require “an individual to pay money into the Federal Treasury, no more.” As it turns out, Congress was unable to require an individual to pay the cost of the individual mandate, leaving the Internal Revenue Service to focus its collection efforts on the interception of refunds. Read article
Physician and medical staff at meeting prior to clinic opening

37, 88 OMAHA!, Hut, Hut….Go!


By Thomas Ferkovic, R.Ph., MS
Managing Director, Medic Management Group LLC

Peyton Manning made the 'OMAHA!' trigger word famous to let his lineman and team know that something was changing. Wouldn’t it be great if before every patient exam the doctor could calI a set of signals to get everyone lined up right? If every morning were exactly the same and patients came to the office in a neat and orderly fashion running a medical practice would be easy and you would not need to choreograph the patient flow dance. Unfortunately, patients do not present with the same symptoms, problem list, medications or fit neatly into the schedule slots. The reality is patients come in all sizes, shapes, variety, and sometimes they present with emergencies. The practice has many exam rooms, ancillary services, employees of various skill sets. Some days staff are on vacation, sick or tied up with other duties. Practices have many variables working in them hourly. How do you organize a busy, complex practice for maximum efficiency? Sometimes we need to look to other organizations for ideas on how daily duties are organized. Read article

Most Downloaded Articles


The following articles were downloaded most often from January 2019 through today.
  1. An Overview of the Nurse Manager’s Guide to Budgeting and Finance 2nd Edition By Al Rundio, PhD, DNP, RN, APRN, NEA-BC, FNAP, FIAAN, FAAN
  2. How Optional is Optional? The Interim Payment Assessment under the Patient Driven Payment Model By Ellie Tucker, Attorney, Polsinelli and Bragg Hemme, Attorney, Polsinelli
  3. Overcoming Burnout: Recharging, Reenergizing and Restoring Your Power By Danna Beal, M.Ed.
  4. Thinking Outside the Excel Spreadsheet: Healing the Workplace Culture By Danna Beal, M.Ed.
  5. Make a Difference No Matter Where You Are on the Organizational Chart By Danna Beal, M.Ed.
  6. Trump's New Order For Medicare Packs Potential Rise In Patients' Costs By Julie Appleby, Kaiser Health News
  7. 2019 Health Care Trends and Critical Success Factors for Health Systems By Alan Miller, CEO, COPE Health Solutions and Cindy Ehnes, Executive Vice President, COPE Health Solutions
  8. Six Steps to Transition Your Organization Toward Value-Based Care By Karl Rebay, Partner, Moss Adams LLP and Georgia Green, Manager, Health Care Consulting, Moss Adams LLP
  9. A Successful Practice Needs a Team That Makes Things Happen By Thomas Ferkovic, R. Ph., MS, Managing Director, Medic Management Group LLC