Just about every day, I read about hospital difficulties with Medicare and Medicaid payments. Last month, a very different story crept into my inbox. Montefiore Medical Center in New York City is not just surviving on Medicare and Medicaid, it’s thriving. A case study published by The Commonwealth Fund says this academic medical center has achieved financial stability despite having 75% of its revenue from Medicare and Medicaid. It’s doing so by focusing on better chronic disease management, improving access to high-quality specialty and hospital care, and better integrating care delivery.

Read more: Bucking the Trend

Hospitals and physicians are working to solidify their relationships, with an eye toward forming more substantial partnerships to handle bundled payments. As they do so, they are looking for the fastest, easiest way to open up lines of communication. I think they should start with this question: who should be talking to whom?

Read more: Are You Talking to Me?

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