About
Strategist to Stanford Health Care (SHC), a principal liaison for SHC to the broader…
Articles by Tip
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A collaboration with a stalwart peer institution - University of the Pacific, Arthur A. Dugoni School of Dentistry - to better serve our communities…
A collaboration with a stalwart peer institution - University of the Pacific, Arthur A. Dugoni School of Dentistry - to better serve our communities…
Shared by Tip Kim
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Sequoia Hospital Earns 5-Star Rating from CMS I am thrilled to share that Sequoia Hospital has earned a prestigious 5-star rating from the Centers…
Sequoia Hospital Earns 5-Star Rating from CMS I am thrilled to share that Sequoia Hospital has earned a prestigious 5-star rating from the Centers…
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Delightful lunch catching up with former chair & mentor Robert A. Harrington! 🌸 Couldn’t walk more than 10 steps before he was greeted by his *many*…
Delightful lunch catching up with former chair & mentor Robert A. Harrington! 🌸 Couldn’t walk more than 10 steps before he was greeted by his *many*…
Liked by Tip Kim
Experience
Education
Publications
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Adding a Contemplative Voice to the Conversation on End-of-Life Care
L.E.K. Consulting
While many patients, their families and clinicians are becoming more accepting of palliative care and related end-of-life choices, significant barriers still exist to integrating a cogent, holistic approach into the conventional, well-established standard of care. Issues with reimbursement, eligibility, logistics, communications, accreditation, coordination and the will to have the conversation all lead to a sub-par care solution that almost seems too business-like and less…
While many patients, their families and clinicians are becoming more accepting of palliative care and related end-of-life choices, significant barriers still exist to integrating a cogent, holistic approach into the conventional, well-established standard of care. Issues with reimbursement, eligibility, logistics, communications, accreditation, coordination and the will to have the conversation all lead to a sub-par care solution that almost seems too business-like and less compassionate.
To address this, Zen Hospice Project (ZHP), a San Francisco-based residential hospice and locally prominent player in the contemplative care space, forged a creative working model with a major hospital system. Addressing the knowledge gap, financial issues and inadequate training, ZHP developed a new pathway by which to assist other organizations in achieving successful, sustainable and practical models in end-of-life care.
In this Executive Insights, L.E.K.’s Tip Kim, Joan Kim and Kevin Grabenstatter describe ZHP’s collaboration with this major hospital system to address the significant structural and cultural challenges of end-of-life care in the U.S. healthcare system.Other authorsSee publication -
Medicare Advantage: What Is Old Is New Again
L.E.K. Consulting
In 2011, L.E.K. Consulting published an article entitled, “Whatever Doesn’t Kill You Makes You Stronger,” asserting that despite the many structural and regulatory threats for payers competing for Medicare Advantage members, the product would still maintain an attractive consumer value proposition for seniors and drive membership into those plans.
Now, more than 15 million seniors are enrolled in a Medicare Advantage plan and member satisfaction remains high. Medicare Advantage…In 2011, L.E.K. Consulting published an article entitled, “Whatever Doesn’t Kill You Makes You Stronger,” asserting that despite the many structural and regulatory threats for payers competing for Medicare Advantage members, the product would still maintain an attractive consumer value proposition for seniors and drive membership into those plans.
Now, more than 15 million seniors are enrolled in a Medicare Advantage plan and member satisfaction remains high. Medicare Advantage represents the first real “retail” health insurance market of scale, coming a full decade before the “exchange,” and making way for more markets as the number of insured increases. In this Executive Insights, L.E.K. Consulting’s Tip Kim, Andrew Kadar and Andrew Whyinny discuss three of the structures pervasive in Medicare Advantage that are likely to be replicated in other markets, and what is next for payers to achieve success in the “retail” healthcare market.Other authorsSee publication -
Hospital Economics and Healthcare Reform
L.E.K. Consulting
Conventional wisdom holds that U.S. hospitals will be net beneficiaries of healthcare reform. After all, hospitals currently care for many patients who are uninsured and cannot pay their medical bills. As the Affordable Care Act (ACA) moves more people into insurance coverage, hospitals will be reimbursed through Medicaid for these patients.
However, this conventional wisdom is contingent upon a key assumption: that the uplift from Medicaid expansion will overcome other negative macro…Conventional wisdom holds that U.S. hospitals will be net beneficiaries of healthcare reform. After all, hospitals currently care for many patients who are uninsured and cannot pay their medical bills. As the Affordable Care Act (ACA) moves more people into insurance coverage, hospitals will be reimbursed through Medicaid for these patients.
However, this conventional wisdom is contingent upon a key assumption: that the uplift from Medicaid expansion will overcome other negative macro forces that will simultaneously affect hospitals in the same time period. In this new Executive Insights, L.E.K. Consulting examines the impact of healthcare reform and other approaching macro forces in sequence. According to our analysis, the net impact of legislative, structural and demographic factors in the wake of healthcare reform will be materially negative for most hospitals in the country.
The authors argue that hospitals will face such acute pain in the future that they and every other player in the healthcare value chain will be forced to innovate and create new paradigms in order to survive. The authors conclude by identifying the strategies that leading hospitals have developed to prepare for their challenging future.
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Whatever Doesn’t Kill You Will Make You Stronger – Perspective on the State of Medicare Advantage
L.E.K. Consulting
Pending reimbursement cuts, a narrowing selling period, and a more onerous business environment all contributed to the conventional wisdom that enrollment in Medicare Advantage (MA) would decline. The Congressional Budget Office, owing to a tendency of seniors to leave their plan when their premiums rise, projected that the number of MA members by the end of this decade would fall to nine million from 11 million today. This absolute decline would happen even in light of the wave of Baby Boomers…
Pending reimbursement cuts, a narrowing selling period, and a more onerous business environment all contributed to the conventional wisdom that enrollment in Medicare Advantage (MA) would decline. The Congressional Budget Office, owing to a tendency of seniors to leave their plan when their premiums rise, projected that the number of MA members by the end of this decade would fall to nine million from 11 million today. This absolute decline would happen even in light of the wave of Baby Boomers reaching eligibility.
But L.E.K. Consulting has a contrarian perspective. L.E.K. research shows that there are clear growth opportunities for many insurers that offer Medicare Advantage plans – a position that challenges widely held assumptions about this market. L.E.K.’s new report outlines reasons for market growth, and includes:
-The market dynamics that are supporting projected growth in this market
-Findings from a county-by-county analysis of how pending rate cuts in Medicare Advantage may impact payers in these areas
-Projections for how healthcare reform will reshape the Medicare Advantage market
More activity by Tip
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I was honored to share our Stanford Health Care COVID-19 visitor exception committe work @ the 52nd National Black Nurses Association conference…
I was honored to share our Stanford Health Care COVID-19 visitor exception committe work @ the 52nd National Black Nurses Association conference…
Liked by Tip Kim
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Great kick off to the 52nd Annual National Black Nurses Association Institute and Conference, Dr. Sharon Hampton, PhD, MSN, RN, NEA-BC, WCS Caritas…
Great kick off to the 52nd Annual National Black Nurses Association Institute and Conference, Dr. Sharon Hampton, PhD, MSN, RN, NEA-BC, WCS Caritas…
Liked by Tip Kim
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Stanford Health Care’s President and CEO, David Entwistle opening the 52nd National Black Nurses Association Institute and Conference in San…
Stanford Health Care’s President and CEO, David Entwistle opening the 52nd National Black Nurses Association Institute and Conference in San…
Liked by Tip Kim
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So proud of thousands of my South Asian sisters who are convening right now to support VP Kamala Harris in her historic race for the presidency. Time…
So proud of thousands of my South Asian sisters who are convening right now to support VP Kamala Harris in her historic race for the presidency. Time…
Liked by Tip Kim
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I'm thrilled to share that Auxiliaris Consulting is open to taking on new health tech consulting contracts! With a strong background in the health…
I'm thrilled to share that Auxiliaris Consulting is open to taking on new health tech consulting contracts! With a strong background in the health…
Liked by Tip Kim
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6+ years in the making… a deliberate and serious attempt to build a true partnership, not just one in name only, for the benefit of the community
6+ years in the making… a deliberate and serious attempt to build a true partnership, not just one in name only, for the benefit of the community
Shared by Tip Kim
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