Insights

Accountable care organizations are increasingly led by physician groups rather than hospital systems

Today, the American Journal of Managed Care (AJMC) released an article entitled “Accountable Care Organizations Are Increasingly Led by Physician Groups Rather Than Hospital Systems.” This article outlines the shift in accountable care organization (ACO) market leadership as physician group organizations have begun to lead the majority of new ACOs. Data on ACO provider types … Continue reading

Survey Highlights Delays in Readiness for CMS Interoperability & Prior Authorization Final Rule

A recent survey conducted by WEDI, a national association for health IT guidance and collaboration, underscores significant delays among both providers and health plans in preparing for The Centers for Medicare & Medicaid Services (CMS)’s Interoperability and Prior Authorization Final Rule (CMS-0057-F). The rule introduces new requirements-including Fast Healthcare Interoperability Resources (FHIR) implementation and prior authorization … Continue reading

Senior Senate Finance Committee Staffer Joins Leavitt Partners

Leavitt Partners, an HMA Company, is pleased to announce that Conor Sheehey has joined the company’s team of health policy experts as a director, located in Washington, D.C. Sheehey most recently served as senior health policy advisor to U.S. Senate Finance Committee Chair Mike Crapo (R-ID). In this role, he advised the Committee on a … Continue reading

Health Policy and Digital Innovation Leader Joins Leavitt Partners

Leavitt Partners, an HMA Company, is pleased to welcome Kim Boyd to the company’s team of digital health experts. She will serve as a principal with the Washington, DC office, and as a resident of Nashville, Tennessee will have close ties with HMA’s Nashville office. Kim has extensive experience in health IT, having served as … Continue reading

Webinar Replay – Legislative Reconciliation in a New Era: Understanding Its Role and Impact in the 119th Congress

This webinar was held on January 15, 2025.  As the Trump Administration takes office and a new Congress is convened, the legislative tool of budget reconciliation could play a pivotal role in shaping the nation’s policy landscape. In this webinar, Liz Wroe, Sara Singleton, and Laura Pence discussed the potential health policy priorities of the new Administration, the implications … Continue reading

Digital Mental Health Technologies: Gaps and Opportunities in Current U.S. Regulatory Authorities

The use of digital mental health technology (DMHT) has rapidly increased in recent years. While DMHT has the potential to improve access to mental health and substance use disorder care, as well as address workforce challenges, payers, providers, and consumers lack information on effectiveness, quality, and privacy protections of specific DMHT.   With support from … Continue reading

Coding, Coverage, and Payment to Improve Inclusive Health

Individuals with intellectual and/or developmental disabilities (I/DD) face unique challenges in equitable access to high-quality health care and experience poorer health outcomes. These challenges are compounded by difficulties that clinicians face in providing care to this population, with barriers impacting clinician-to-patient time, time to prepare for visits, coverage and payment for services, infrastructure and accommodation … Continue reading

A Vision for Incrementally Improving Health Care Data Quality

Background and Problem Statement As a consequence of recent progress in interoperability and healthcare data exchange, the data quality problem is no longer isolated to local organizations and businesses; it is systemic and more evident than ever. It negatively affects patient care, patient safety, public health, clinical research, insurance claims processing, and the administrative cost … Continue reading

Webinar Replay: The 2024 Election: What It Could Mean for Health Policy

With months to go, the 2024 election cycle has already been filled with many twists and turns, creating uncertainty about the outcome and its impact on governance. Join three Leavitt Partners experts with significant DC policy experience as they sift through the noise to analyze the current state of play and what it means for … Continue reading

The Present and Future of Alternative Funding Programs for Specialty Drugs

Employers generally want to provide comprehensive medical and pharmacy benefits to their employees, but many organizations and their employees are struggling to cover healthcare costs. In 2018–2023, the average annual premium for family coverage in the commercial market increased by 22 percent. In 2024, employer healthcare costs are expected to continue increasing. In recent years, … Continue reading