Healthcare

navigating
the tipping point

Opportunity within Change

There is little disagreement that the current state of the US healthcare economy is unsustainable. To address this situation, unparalleled public and private reform is underway that will usher in a new economy that rewards quality, efficiency and collaboration.

For those healthcare organizations that wish to thrive in this new economy, they stand at a tipping point where the strategy and tactics they employ today will profoundly impact their opportunity for success in the years to come. 

Dynamic Market Environment: Tipping Point

The foundation of that tipping point is the increasing payer focus on the higher-quality / lower-cost dynamic. This has resulted in an environment that is moving with building urgency toward greater clinical integration and population management.

As the evolution continues, purchasers will place more pricing pressure on the industry, and risk based contracts will become the norm. This step change will present the prepared provider with opportunities for margin retention / enhancement.

Risk Capability: Key to Future Success

These opportunities will be balanced by an increase to an organization’s business model risk. Therefore to thrive in this environment, healthcare providers must be prepared to accept greater risk for payment of services with greater insight into the impact that risk presents the organization both financially and operationally. This is the essence of Risk Capability. Increasing an organization’s Risk Capability requires a focus on three critical success factors:

  • Enterprise Intelligence
  • Revenue Transformation
  • Clinical Enterprise Maturity 

Read more about Risk Capability here.

The industry’s preparation for Risk Capability drives unique perspectives and approaches in Assurance, Tax and Consulting. With over 220 professionals dedicated to the healthcare industry, the resources of DHG Healthcare stand at the ready to assist our clients on their journey toward becoming more Risk Capable.

Assurance

The DHG audit approach is a risk-based, continuous process with significant partner involvement throughout the year. As our industry transforms, our clients benefit from the technical acumen and transformational industry understanding of our audit teams. This skill and insight, coupled with the resources of the DHG Healthcare industry practice, enables DHG to provide assurance services that support our clients in the present, and in their journey toward Risk Capability.

Read more about our assurance services here.

Tax

The DHG tax approach is customizable to a client’s situation and market dynamics. This flexible approach enables DHG tax to define services that mitigate risk and maximize opportunity. Our current engagements typically involve targeted products and services such as 990 preparation and review, specific issue research, and arbitrage rebate calculations and related compliance.

As our healthcare tax clients progress on their journey toward Risk Capability, we have the capabilities to provide services to:

  • Achieve financial regulatory compliance within a risk based contracting environment
  • Execute and implement population health assessments (CHNA)
  • Design, develop and execute tax appropriate strategies for Risk Capable organizations

 

Read more about our tax services here.

Consulting

DHG Healthcare Consulting serves the continuum of care by bringing agile and innovative approaches to the complex business challenges that face healthcare organizations in their journey toward Risk Capability. We serve our clients via four focus areas:

  • Enterprise Intelligence
  • CFO Advisory Services
  • Reimbursement
  • Strategy

Recognized by Modern Healthcare as a top 20 U.S. healthcare management consulting firm, we understand the challenges in your market and offer the services required to meet demanding needs.

To thrive in the new economy, a new level of dialogue and collaboration will be required where historic competitors will become allies, shared accountability will be the norm, and markets will change in an instant. The breadth and depth of the DHG Healthcare Consulting team enables us to rapidly deploy multi-functional teams skilled in assisting our clients in addressing the key challenges of the day and advancing the transformational dialogue.

Read more about our consulting services here.

Assurance

Tax

Consulting

Enterprise Intelligence

Market Intelligence to Accelerate Growth Strategies

  • Strategic Market Assessment
  • Care Access Assessment (Urgent Care, FSED)
  • Service Line Assessment
  • Primary Care Network and Alignment Assessment

Financial and Operational Benchmarking Tools

  • Financial and Operational Benchmarking Tool vs Custom Peer Groups

Cost Variation and Clinical Outcomes Tools

  • Cost Variation Opportunity Analysis
  • Cost Variation Management Analytics
  • Managed Care/Contracting Analytics Tools

Revenue Optimization Tools

  • DSH Payment Recapture

Penalty Avoidance and Reduction

  • Value Based Purchasing
  • Readmission Reduction Intelligence

Delivery Model Analytics

  • Modeling Intelligence
    -  Bundled Payment “Pre-Analytics”
    -  Bundles Payment Precedence Analytics
    -  Bundled Payment Baseline Analytics (9 reports)
    -  Risk Readiness Assessment
  • Management Intelligence
    -  Bundled Payment Monthly Claims Analytics
    -  Bundled Payment Reconciliation Analytics

Post Acute Channel Intelligence

  • PAC Geographic Spending Variation
  • PAC Provider Performance Analytics (for Acute Provider)
  • PAC Provider Performance Scorecard (for PAC Provider)

Population Health Tools

  • Population Health Platform

Care Management Intelligence

  • Care Management Assessment
  • Care Management Action Planning

Custom Data Mining

  • SAS “Big Data” Programming
  • Visual Basic (VBA) Applications

Learn more about our Enterprise Intelligence here.

CFO Advisory Services

  • Revenue Integrity
    • Revenue Cycle Optimization
    • Compliance
  • Financial Modeling and Planning
    • Senior Living
    • Acute Care
  • Performance Improvement
  • Payment Model Reform and Revenue Transformation
    • Mandatory
    • Voluntary
  • Physician Enterprise Optimization

 

Learn more about our CFO Advisory Services here.

Reimbursement

  • Hospital Services
    • Cost Report Preparation and Review
    • Medicare/Medicaid DSH
    • Medicare Bad Debt
    • Medicare Wage Index and Occupational Mix
    • Indirect Medical Education/Graduate Medical Education (IME/GME) Consulting
    • Reimbursement Education
    • Medicare Special Designations
    • Reimbursement Impact Analysis/Regulatory Research
    • 340B Drug Compliance and Mock Audit Assistance
    • Transfer DRG
  • SNF & Long Term Care Services
    • Cost Report Preparation and Analysis
    • Medicare Bad Debt
    • Financial Operations Performance Analysis
    • Merger and Acquisition Support
    • American HealthTechTM Hosting and Support
    • Medicare/Insurance Claims Assistance and Training
    • Business Office Accounting Assistance and Training
    • Clinical Documentation Analysis and Training

 

Learn more about Reimbursement here.

Strategy

  • Strategic Planning
  • Physician Alignment
  • Clinical Integration
  • Demand & Feasibility
  • Mergers, Affiliations and Partnerships

 

Learn more about Strategy here.

Publications Publications
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Building a Strategy: Mergers & Acquisitions in Healt...
The delivery of health care in the United States will transform itself in the next three years as hospitals and other provider organizations merge or
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CMS Sets Roadmap for Alternative and Value-Based Pay...
On Monday, January 26, 2015, Health and Human Services (HHS) Secretary Sylvia M. Burwell announced meaningful steps aimed at more aggressively shifting
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NAIC 2014 Fall Meeting Newsletter
The NAIC was very pleased with the accomplishments that were made this year in executing their charges for 2014. Overall, it was a successful year.
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Events Events
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8/10/2015 to 8/12/2015
HFMA Alaska Annual Meeting
Anchorage, AK
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8/12/2015 to 8/14/2015
Region 10 Meeting
Colorado Springs, CO
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8/20/2015 to 8/20/2015
HFMA Summer Education Program Southern Chapter
Cerritos, CA
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News News
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DHG Healthcare and Collain Healthcare Announce Strat...
This new relationship is an example of DHG Healthcare and Collain’s commitment to help clients accelerate the path to greater clinical integration and
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Laurajeanne Fligor Selected for Cleveland Leadership...
Cleveland, OH, June 11, 2015 – Laurajeanne Fligor, a key leader in the DHG Healthcare Center for Industry Transformation (CIT), will
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Dr. Robert Kiskaddon Joins DHG Healthcare as Chief M...
Effective June 1, 2015, Robert Kiskaddon, M.D., FACEP joins DHG Healthcare, the national healthcare practice of Dixon Hughes Goodman LLP, as Chief Medical
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Alerts Alerts
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Common Industry Practices at the Core of Revocation ...

On June 30, 2015, the New Jersey Tax Court upheld the denial of AHS Hospital d/b/a Morristown
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Final Net Investment Income, Additional Medicare Tax...
Recently released final regulations aim to clarify the Code Sec. 1411 3.8 percent Net Investment Income (NII) tax and Code Sec. 3101(b)(2) 0.9 percent
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New Healthcare Fees and Return Filing Due July 31 fo...
The Patient Protection and Affordable Care Act (PPACA) calls for the establishment of the Patient-Centered Outcomes Research Institute (PCORI).
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Blog Blog
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What You Need to Know About the Affordable Care Act
The Affordable Care Act (ACA) was passed by Congress and signed into law in March 2010. The law seeks to increase access to health care coverage, reduce
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Case Studies Case Studies
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DHG TV DHG TV
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DHG Healthcare Symposium 2015
The 17th annual DHG Healthcare Symposium took place May 6-8, 2015 at Disney’s Grand Floridian Resort & Spa in Orlando, Florida. This year’s event, titled
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Pinnacle
Pinnacle is an annual DHG team event which occurs each December. It is custom designed to educate and keep DHG’s Healthcare professionals apprised of
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Name/Title Office vCard Email

DHG Healthcare is the national healthcare practice of Dixon Hughes Goodman guiding our Assurance, Tax and Consulting clients through today’s dynamic healthcare environment in all 50 states. Our industry dedicated team provides distinctive professional services to many of the most well-known and innovative healthcare brands in the country. 

 

  • Top 20 Healthcare Management Consulting Firm (as ranked by Modern Healthcare)
  • More than 220 dedicated healthcare industry professionals across assurance, tax and consulting services
  • 46 dedicated healthcare industry partners, principals and directors
  • A preeminent industry segment within DHG
  • Four distinct and scaled consulting service lines (Strategy, Reimbursement, CFO Advisory and Analytic Solutions)
  • Highly-diversified client base (providers across the pre-acute to post-acute continuum, community hospitals, large integrated health systems national proprietary chains, health plans and managed care organizations)
  • Deployed against the entire provider ecosystem
  • Healthcare technology assets include advanced business intelligence and software hosting capabilities
  • Market-leading alliances further extend our deep capabilities

At DHG Healthcare, our professional healthcare capabilities are exceptionally aligned with the dynamic transformational business environment that healthcare ecosystem stakeholders are experiencing today. No other firm can demonstrate our commitment to meeting the needs of the industry as we continually build our national healthcare practice in direct alignment with our perspective on healthcare transformation.

Our Transformational Perspective: Achieving Risk Capability is Critical to Future Success

Healthcare providers are preparing to accept greater risk for payment of services. Increasing an organization’s risk capability requires a focus on three critical success factors: Business Intelligence, Revenue Transformation and Clinical Enterprise Maturity. Read more about risk capability here. DHG Healthcare’s transformational perspective is central to our Assurance, Tax and Consulting service approaches.

We bring tremendous experience serving clients across the evolving continuum of care.

 

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Services In Focus
Alerts, News
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Case Studies