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On Monday, January 23, U.S. District Judge John Bates issued his highly-anticipated decision regarding the Department of Justice’s anti-trust challenge that blocked the proposed $37 billion- merger between Aetna and Humana. The ruling in favor of the Department of Justice (DOJ) is significant because of the merger’s potential to cause Medicare Advantage disruptions and other […]
On June 29, HHS announced its selection of oncology physician group practices and health insurance companies to participate in the Oncology Care model (OCM), a five-year bundled payment initiative that starts July 1 and will cover more than 3,200 oncologists and 155,000 Medicare beneficiaries. The program provides a $160 care management payment per beneficiary per […]
Recently I had the opportunity to research CMS’ Oncology Care Model (OCM) bundle and to interview a number of c-suite individuals across oncology hospitals and clinics. Below please find eight summary thoughts. Difficulty of bundling oncology. Joint replacements (the focus of CMS’ new mandatory bundled payment program) have a clear beginning and end for the episode […]
On Friday, the Centers for Medicare and Medicaid Services (CMS) announced their proposed Medicare rate adjustments. Estimates forecast a 3.5% increase for Medicare Advantage plans after adjusting for coding practices. CMS also intends to “improve payment precision and encourage quality” with the possibility of some changes to the star rating system. The proposed changes represent […]
The Health Care Transformation Task Force and Leavitt Partners were referenced in a Becker’s Hospital Review article entitled “15 from 2015: Stories that defined the year.” The first story, regarding value-based health care, states that “…the developments were not relative to one sector of the industry. The Health Care Transformation Task Force includes payers such as Aetna, Blue Cross Blue Shield of Massachusetts and Blue Shield of California, along with policy groups like Dartmouth Institute for Health Policy and Clinical Practice and Leavitt Partners”.
Health Affairs releases “How Might Proposed Mergers Impact State Insurance Markets?” blog containing a state-by-state landscape analysis. Salt Lake City, December , 2015 — With recent news of the proposed Aetna/Humana, Anthem/Cigna, and Centene/Health Net mergers, a number of stakeholders have raised questions about how consolidation impacts health care markets’ competitiveness. For these proposed deals, […]
On the first day of December, 2014 CMS released a proposed rule to update the Medicare Shared Savings Program, the most prominent of the ACO programs being promulgated by the federal and various state governments. As a team, we devoured the 429-page rule, splitting it up along certain topics like attribution and financial model options; […]
How care coordination tools can improve patient satisfaction and outcomes.
Giving patients more control over, and visibility into, health care spending decisions, will contribute to a better functioning health care marketplace.
SALT LAKE CITY, (Oct. 30, 2012) — With the 2012 election a week away, Leavitt Partners today released analysis that shows the critical impact the elections will have on the implementation of the Affordable Care Act. Hanging in the balance is the execution of federal health reform as determined by the White House, Congress, statehouses and America’s private […]
SALT LAKE CITY, (May 31, 2012) — In anticipation of the forthcoming Supreme Court decision on the federal health reform law, Leavitt Partners has analyzed how various rulings by the court, when combined with 2012 election results for the White House and Congress, may impact the future of American health care. The analysis draws upon the […]
Salt Lake City (Feb. 28, 2012) — Leavitt Partners today announced the formation of Health Intelligence Partners™, a member-based, health care executive collaboration. The collaboration brings together industry leaders and policy experts to participate in tailor-made health care intelligence activities that give members an informed perspective on the likely future of health care. Skillfully executed national surveys, […]
Leavitt Partners has created FuturePanel™, an authoritative group of health care thought leaders who inform, refine and guide the health care intelligence shared by the firm. FuturePanel members include former senior executives from the Centers for Medicare and Medicaid Services, national leaders in health information technology, veterans of state-level health care policy, clinical experts and […]