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:

  • Analytic Solutions
  • 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

Analytic Solutions

  • Market Intelligence
    • Strategic Market Assessment
    • FSED, Urgent Care Assessment
    • Service Line Assessment
    • Primary Care Network and Alignment Assessment
    • Financial Benchmarking to Peer Groups
    • Management Intelligence
      • Bundled Payment Monthly Claims Analytics
      • Bundled Payment Reconciliation Analytics
      • Clinical Care Management Plan
  • Cost Variation and Clinical Outcomes Intelligence
    • Cost Variation Opportunity Analysis
    • Cost Variation Management Analytics
    • Managed Care Analytics Platform
  • Penalty Avoidance and Reduction
    • Value Based Purchasing
    • Readmission Reduction Intelligence
    • Hospital Acquired Conditions
  • Delivery Model Analytics
    • Modeling Intelligence
      • Bundled Payment “Pre-Analytics”
      • Bundles Payment Precedence Analytics
      • Bundled Payment Baseline Analytics (9 reports)
      • Clinical Care Management Assessment
  • Post Acute Channel Intelligence
    • PAC Geographic Spending Variation
    • PAC Provider Performance Analytics (for Acute Provider)
    • PAC Provider Performance Scorecard (for PAC Provider)
  • Population Health Management
    • Care Management Plan
  • Custom Data Mining
    • Medicaid Regional Care Organizations - Alabama

Learn more about our Analytic Solutions 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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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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Shareholder Fringe Benefits - Overview
As we approach the end of the year it’s important for companies to understand the proper reporting of fringe benefits paid to employees during the year to
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Events Events
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3/11/2015 to 3/13/2015
VA/DC Chapter HFMA Spring Conference
Richmond, VA
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3/15/2015 to 3/17/2015
2015 NCHFMA Annual Meeting
Pinehurst Resort - Pinehurst, NC
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News News
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The DHG Healthcare Center for Industry Transformation
DHG Healthcare, the national healthcare practice of Dixon Hughes Goodman LLP, announced today that it will be establishing the headquarters for its Center
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DHG Healthcare & Socrates Analytics Partner
DHG Healthcare, the national healthcare practice of Dixon Hughes Goodman LLP, announced today that it has entered into a strategic partnership with
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Kane Admitted as DHG Healthcare Principal
Effective October 15, 2014, Chris Kane joined Dixon Hughes Goodman LLP as a principal in its national healthcare practice, DHG Healthcare.
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Alerts Alerts
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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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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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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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Industry Issues



Services In Focus
Alerts, News
& Publications


Updated New Income Tax Rates and Limitations
As you are preparing your 2014 individual and business tax returns please...
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FASB Issues PCC Alternative for Identifiable Assets ...
On December 23, 2014, the Financial Accounting Standards Board (FASB) issued...
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DHG Principal Steve Amigone Named Chair of the Praxi...
DHG is pleased to announce that Steve Amigone, principal and leader of DHG’s...
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Events

4/15/2015
2015 AFSA Independents Conference & Exposition
Marriott Harbor Beach Resort - Ft. Lauderdale, FL

3/19/2015
Virginia Bankers Association Directors Symposium
Marriott Westfields Washington Dulles - Chantilly, VA



Blog

Planning Your Car...
As we begin 2015,
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The Importance of...
As a professional in
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Case Studies