Re-Thinking Retail

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My Roomba just arrived, and I am beyond thrilled! Fed up with my inability to keep up with my golden retriever’s shedding, on a whim I did about 10 minutes of research on robotic vacuums and then added one to my Amazon cart. Less than 24 hours later, this game-changer arrived at my door. A… Read More

Ascendient Healthcare Advisors Adds Three Senior-Level Positions

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Founder says largest ever one-time expansion will add capacity as healthcare leaders push forward with transformation in the wake of Covid-19. Chapel Hill, NC – Ascendient Healthcare Advisors, a top-50 consulting firm for healthcare strategy, planning, and feasibility, today announced the addition of three managing consultants with nearly four decades of combined experience. “In more… Read More

Mobile Integrated Healthcare: A Valuable Tool for Healthcare Transformation

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Mobile Integrated Healthcare is a broad and somewhat confusing term as it often operates differently from place to place in order to meet a community’s unique needs.  In 2016, the National Association of Emergency Medical Technicians (“NAEMT”) and other partnering organizations updated their vision statement that defines and clarifies MIH: “Mobile Integrated Healthcare – Community… Read More

The Maryland Model (Part 3): Lessons Learned from Maryland’s Payment Models

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Maryland is the only state in the country that has a waiver from the Medicare Prospective Payment System (“PPS”) and related regulations. The waiver allows the State to manage its healthcare costs through the evolution and implementation of progressive healthcare payment models.  In January 2019, the Total Cost of Care model (“TCOC”) replaced the All-Payer… Read More

The Maryland Model (Part 2): Understanding How Maryland’s Payment Models Work

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Maryland is the only state in the country that has a waiver from the Medicare Prospective Payment System (PPS) and related regulations. The waiver allows the State to manage its healthcare costs through the evolution and implementation of the State’s unique payment model.  In the second of the three-part series, we examine how Maryland’s unique… Read More

Healthcare’s New Normal: Understanding the Importance and Impact of Virtual Care in a Post-COVID-19 World (Part 2)

Long considered a key component of a future healthcare delivery system, virtual care adoption has accelerated across the country as healthcare systems find new, safer ways to continue providing services to their patients during the COVID-19 outbreak. Before the pandemic, the move to virtual care saw great success in some markets yet floundered in others…. Read More

Healthcare’s New Normal: Understanding the Importance and Impact of Virtual Care in a Post-COVID-19 World (Part 1)

Long considered a key component of a future healthcare delivery system, virtual care adoption has accelerated across the country as healthcare systems find new, safer ways to continue providing services to their patients during the COVID-19 outbreak. Before the pandemic, the move to virtual care saw great success in some markets yet floundered in others…. Read More

Six Tips for Rapid Strategic Planning in Uncertain Times

With the world having fundamentally changed over the last 90 days, many healthcare organizations may need an overhaul of their current strategy—but who has time for strategic planning in the midst of a pandemic?  All too often traditional strategic planning involves belabored processes over an extended period of time that ultimately leads to little, if… Read More

FREE COVID-19 Bed Capacity Assessment

Ascendient is pleased to offer to any hospital or health system in the US a free, customized COVID-19 Bed Capacity Assessment. News outlets are sounding the alarm regarding the lack of available hospital beds to accommodate the COVID-19 pandemic as it rolls across the US. Releases by both Health Affairs and the Harvard Global Health… Read More

25th Anniversary

“The More Things Change, the More They Stay the Same.[1]” When Ascendient was launched in the summer of 1994, Congress was debating the Clintons’ “Managed Competition” plan to reform the US healthcare system.  It faced defeat a few months later.  In the decades since, we applauded the passage of the Affordable Care Act in 2010,… Read More

Rethinking Recruitment [VIDEO]

TRANSCRIPTION: This is Brian Ackerman. Today I want to talk to you a little bit about rethinking primary care recruitment. If you’re in the recruiting business, you know how difficult it is to attract and retain primary care physicians in particular. What I want to do today is really outline why you might want to… Read More

Devastation of Site Neutral Payment [VIDEO]

TRANSCRIPTION: This is Brian Ackerman. I want to talk to you today about the devastation of site-neutral payment. Site-neutral payment is nothing new. We’ve worked with hospital clients for a number of years to discuss how from a competitive standpoint, they may look to push certain services into a freestanding setting and the associated implications… Read More

Community Health Assessments [VIDEO]

TRANSCRIPTION: I’m Daniel Carter. I wanted to take a few minutes today to share some ideas with those of you who may be working on your community health needs assessments. Now, these are ideas that I have developed over a number of years working with all types of organizations including public health departments, FQHCs, and… Read More

Holiday Video

  Dear Clients and Friends, Please enjoy this short video of our thoughts for the season.  Thank you for your continued friendship, support, and partnership.       Ascendient will be closed December 24, 2018 through January 1, 2019.  Dawn Carter will be the partner on-call during that time for any urgent issues. Our home office… Read More

Healthcare Providers Facing Strong Financial Challenges

Dawn Carter, Ascendient After decades of unabated growth in healthcare costs, payors, consumers and the government alike are finally taking action to eliminate cost-shifting and to force providers to assume more risk. From MACRA and the lower reimbursement rates of Medicare Advantage to the growing use of freestanding sites, hospitals are facing a transformational shift… Read More

Microhospitals: Evolving Regulations [VIDEO]

  In this short video, Daniel Carter will discuss the evolution of microhospitals as he highlights two examples. Video Transcription: I’m Daniel Carter. I want to talk a little bit today about the evolution of microhospitals as it pertains to regulations.  To do that I want to talk about a couple of specific states. First… Read More

Six Critical Disciplines To Integrate For a Transformed Healthcare Delivery Model

Changing market forces across the healthcare industry will have major reverberations across key provider, consumer, and other stakeholder communities that operate both within and outside of traditional healthcare system networks. And as a new and dramatically different type of healthcare delivery model emerges, healthcare executives can no longer afford to embrace a “business as usual”… Read More

Will Amazon Healthcare Work? [VIDEO]

In this short video, Dawn Carter will discuss three business giants coming together and how that will directly impact the future of healthcare. Video Transcription: I’m Dawn Carter. There was an exciting announcement recently about three business giants coming together to focus on the healthcare delivery and cost reduction for their employee populations. There has… Read More

Do Microhospitals Fit in HealthyTown? [VIDEO]

  In this short video, Daniel Cater will discuss how microhospital can fit into your strategy using our Healthytown™ model. Video Transcription: I’m Daniel Carter, and I want to talk a bit today about how Microhospitals fit in a Healthytown strategy.  For those of you who have followed our Healthytown strategy discussion over the years,… Read More

Principles of Transformed Care Delivery [VIDEO]

In this short video, Dawn Carter will discuss four principles behind transformed care delivery. Video Transcription: I’m Dawn Carter. I want to spend a few minutes talking about principles of transformed care delivery. If we have a transformed payment system that incentivizes the most effective care in the least costly setting, how will that transform… Read More

Understanding Microhospitals [VIDEO]

In this short video, Daniel Carter will discuss the characteristics of a microhospital. Video Transcription: I’m Daniel Carter and I wanted to talk a bit today about microhospitals. In healthcare strategy, we often hear terms that cause a lot of excitement, and sometimes, that excitement is for good reason and sometimes, it ends up being… Read More

Principles of Transformed Payment [VIDEO]

In this video, Dawn Carter discusses the principles of transformed payment and presents four inherent principles in that system. Video Transcription: I’m Dawn Carter. I want to spend a few minutes today talking about the principles of transformed payment. The healthcare industry in the United States has a long history of care delivery being heavily… Read More

Medicare Wall [VIDEO]

  In this short video, Dawn Carter will briefly discuss the future of medicare and what the future holds without a transformed payment system. Video Transcription:  I’m Dawn Carter. I want to talk today about the Medicare wall that we are running toward. We’ve talked in other blogs about how we believe that the financing… Read More