Trilliant Health

The combination of the secular decline in the number of commercially insured patients and the inability of most providers to generate positive operating margins from reimbursement for #Medicare and #Medicaid beneficiaries means that, in aggregate, the U.S. healthcare system is a negative-sum game. As a result, competing effectively – and fiercely – is necessary. As Sister Irene Kraus put it simply: “No margin, no mission.” Competing well requires effective governance, courageous leadership, a steely-eyed discernment of market realities, a disciplined approach to maximizing return on invested capital and evidence-based strategies. Do you have the right strategies to survive healthcare’s negative-sum game? Download the Field Guide, an essential resource for health economy stakeholders to compete seriously in healthcare’s negative-sum game. #healtheconomy #healthcareIT #healthcarepolicy #healthcareleadership #healthcareexecutive #healthcarestrategy #healthcareanalytics

How is it that there is no correlation between quality and rate in the U.S. health economy? Because #CMS doesn’t even uniformly enforce quality reporting, much less incentivize quality, and the #ACA inaugurated an era of cost-plus insurance, leaving “consumers” trapped in a system they don’t understand and cannot afford.  More in #Counterpoint. ⤵

To prepare for the “next generation” of physicians, stakeholders must consider their mindset, priorities and expectations. As more young doctors weigh compensation against workload, how can primary care be better positioned as a specialty to align with their needs? More in #TheCompass.

Having made substantial investments in #virtualcare strategies based on enthusiasm for potential benefits, health systems must now monitor and measure the impact that digital front doors and virtual care have on downstream capture and patient acquisition, satisfaction and alignment. More in #TheCompass.

Traditional providers who are reluctant to align care delivery with consumer preferences should at least understand those preferences to compete with new entrants in a shrinking market of commercially insured patients with increasing options for care. Likewise, traditional providers eager to innovate to align with consumer preferences must understand that consumer loyalty requires more than an EMR portal and opening clinics in wealthy neighborhoods that see patients until 8PM. Explore the full use case in the Field Guide: https://lnkd.in/e99Pnm_p

The share of #telehealth rendered by established providers plateaued at 52.1% in 2022, raising questions about patient preferences vs. COVID-era forced adoption. More in #TheCompass.

Two years ago, the Centers for Medicare & Medicaid Services (CMS) issued a request for information (RFI) to assess how they might approach the creation of a national provider directory. We submitted our comments to the RFI – and then we built a national provider directory for any health economy stakeholder to use for free. Explore our free provider directory today via API or Databricks Marketplace. https://hubs.ly/Q02BJjJx0

The secret is to quit talking about innovation in healthcare, and actually start putting ideas into action. In this episode, Hal Andrews, CEO of Trilliant Health discusses healthcare’s future, and stresses the importance of understanding market share accurately, emphasizing the need for a comprehensive view of all providers in a given market. Tune in and learn how data-driven strategies can drive positive outcomes in healthcare! Click this link to listen to the entire episode and to check the resources: https://lnkd.in/eQN46QYb #outcomesrocket #podcast #healthcare #providers #outcomes #market

Just added: New Compass+ resources for June. This month, subscribers can explore the impact of GLP-1s on different health economy stakeholders, the factors influencing healthcare demand, trends in liver-related mortality among younger men and more. 🏥 Industry Pulse: An exploration of how health economy stakeholders are balancing the financial impact, value, access and clinical efficacy of GLP-1s. 📝 Primer Brief: An in-depth look at the factors that influence healthcare demand including, disease burden, population shift, provider supply and more. 🛠️ Reference Sheets: A comprehensive overview of hospital ownership and prior authorization. 🖼️ Presentation-Ready Slides: Sharable slides featuring new insights and graphs on the rate of liver conditions per 100k population by state, the percentage change in #telehealth utilization by state and more. 🎯 Playbooks: A detailed analysis of the impact of private equity on hospital consolidation, using Steward Health Care as an example. Log into your Compass+ account to access. Don’t have an account? Become a subscriber today. https://hubs.ly/Q02Bx-Sm0

The telehealth industry is facing a challenging reality in stark contrast with enthusiastic pandemic-era predictions. More in #TheCompass.