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Charlie Brown, Lucy, and Risk Corridor Payments
On October 13, 2015, your humble blogger received the AIS Inside Health Insurance Exchange quote of the day related to non-payment of the Risk Corridor payments, “…. there was a contract going into this that there would be certain protections… and plans would price as best as they could, knowing that there was no actuarial precedent for the risk. The news that CMS could pay carriers 12 cents for every dollar requested for the first year of the risk corridor program felt like Lucy moving the football at the last second.”
More Medicare ACOs Will Take On Risk in 2018
David Muhlestein provided his insights regarding ACOs taking on risk for a Modern Healthcare article entitled “More Medicare ACOs will take on risk in 2018.”
Delivery System Reform Hampers ACO Progress on Risk-Based Contracts
A Modern Healthcare article entitled “Delivery system reform hampers ACO progress on risk-based contracts” cites the Leavitt Partners and NAACOS "The 2017 ACO Survey: What Do Current Trends Tell Us About The Future Of Accountable Care?”
Colossal Rate Increases; The Exception Or The New Rule
Insurance premiums under the Affordable Care Act (ACA) are receiving increased attention due to reports of sharp 2017 increases by insurers. Across the nation, insurers have submitted initial premium increases and it is not uncommon for insurers to submit proposed rate increases in excess of 40-50% for 2017. State regulators will review the requests meticulously […]
Leavitt Partners Releases “Why Patients Readmit” White Paper
Salt Lake City, August 24, 2017 –  The implementation of the Comprehensive Joint Replacement (CJR) bundle, and the recently proposed changes to the program, have increased scrutiny on hospital readmissions and their causes. Today, Leavitt Partners released a new white paper, “Why Patients Readmit: Using a Readmission Curve to Identify Patients at Risk for Hospital […]
The Accountable Care Paradigm: More than Just Managed Care 2.0
Accountable care organizations have become an emphasis in health policy circles, but some feel they represent the return of 1990s managed care.