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Michael Nugent

Michael Nugent
Office:
Chicago, IL
Phone:
+1.312.583.4153
Contact:

Michael Nugent is a Managing Director in the Healthcare practice and leader of Navigant's Managed Care Pricing team. With nearly 20 years in the healthcare payer and provider industry, Mr. Nugent is an expert and nationally recognized writer, speaker and advisor in the area of pricing, managed care contracting strategy, negotiations and front end revenue cycle innovations in an era of increased patient cost sharing and price transparency.  Mr. Nugent is co-author of the new book, Accountable Care Organizations, Your Guide to Strategy, Design, and Implementation.

He has advised a wide range of healthcare payers, providers, and manufacturers on corporate strategy, reimbursement, product and operational matters. Mr. Nugent and his team have re-priced over forty billion dollars in hospital charges, have designed and implemented a myriad of shared risk, tiered network, pay for performance and money back guarantees for some of the nation's top payers, providers and manufacturers.

Mr. Nugent is one of the lead architects of Navigant's NextGeneration Pricing and Managed Care Toolkit used by payers and providers to benchmark and establish rates in partnership with one another.  

Articles by Michael Nugent

Payment Change, HFM Magazine, April 2010

In this article for Healthcare Financial Management, Navigant's Michael Nugent focuses on how healthcare organizations can prepare themselves for a future of significantly slower spending growth in...

 Article / White Paper
Implementing Clinical and Financial Collaboration Between Payers and Providers

Read Michael Nugent’s article “Implementing Clinical and Financial Collaboration Between Payers and Providers” in HFM magazine, October 2012.

 Article
Payment Reform: Complexities to Consider

Providers and payers alike are concerned about payment reform. Both entities need to begin to implement payment and delivery reforms in their own communities.

 Article / White Paper
Budget Planning Under Payment Reform

Healthcare reform makes budgeting top-line reimbursement, volume, payer mix, and collections more difficult than in the past. Michael Nugent advises providers and healthcare finance executives on how to overcome the challenges of budgeting for top-line growth in a post-reform environment.

 Article / White Paper
ASC Value-Based Purchasing Plan More Preview Than Report

A recent report by the Health & Human Services Department laid out a plan for shifting Medicare reimbursement for ambulatory surgery centers to a system of value-based purchasing, but did not address several key issues.

 News
Pulse Winter 2011

This issue of Pulse – devoted to accountable care – provides vital information needed to navigate through all the changes.

 Article / White Paper
Accountable Care Organizations

Accountable Care Organizations will help you understand the ACO framework and assess your readiness to embark on an ACO strategy.

 Book
The Price of Success

This article in Healthcare Informatics looks at the state of hospital pricing and how hospitals are dealing with growing calls for greater pricing transparency.

 Article / White Paper
Managed Care Contracting & Payment Reform

Health reform promises to fundamentally change what and how CMS and commercial payers reimburse providers.

 Article
Delivering Value to Multiple Stakeholders 2013 and Beyond

Read Michael Nugent’s article “Delivering Value to Multiple Stakeholders 2013 and Beyond” in HFM Magazine, December 2012.

 Article
Aligning Managed Care Contracts, Compensation Plans, and Incentive Models

Michael Nugent writes an article for the November issue of hfm Magazine entitled, “Aligning Managed Care Contracts, Compensation Plans, and Incentive Models.”

 Article / White Paper
Accountable Care Organizations & Payment Reform - Setting a Course for Success

This whitepaper written by Navigant's Dr. Marc Bard and Michael Nugent discusses how health care organizations can achieve new levels of clinical and financial success through ACO.

 Article / White Paper
Navigant Teams with 3M to Support Provider Participation in CMS Bundled Payment Initiative (Press Release)

Navigant and 3M team up to support provider participation in CMS bundled payment initiative.

 News
Medical Loss Ratio: Overview, Key Considerations and Risks

Navigant experts provide an overview of Medical Loss Ratio and outline key considerations and risks for payers, providers and employers.

 Article / White Paper

Education

  • BA, Lawrence University
  • MBA, Northwestern University

Licenses

  • CHFP

Industry Specialization

  • Healthcare
  • Insurance
  • Pharmaceuticals and Life Sciences

Functional Expertise

  • Pricing and Reimbursement Strategies
  • Healthcare - Provider Strategies and Management
  • Healthcare - Payer Strategies and Management
  • Finance and Accounting

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