Our Latest Thinking

We are constantly scanning the health care market for new and interesting developments; then we write about them here. Check out our latest thinking.

Health Insurance

The Cost of Quality: How Star Ratings Can Influence Monthly Premiums in Medicare Advantage Plans

November 14th, 2016

The Centers for Medicare and Medicaid Services assigns a star rating to Medicare Advantage plans to help beneficiaries better understand and select their insurance plan.

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Colossal Rate Increases; The Exception Or The New Rule

August 10th, 2016

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 […]

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Incentivizing Young Adults to Buy Health Insurance

July 8th, 2016

In a recent announcement, CMS acknowledged the need to insure younger and healthier adults in order to contribute to a more balanced Marketplace risk pool and lower costs. CMS detailed a series of actions to step-up Marketplace outreach, especially to young adults who are still more likely than average to remain uninsured. While the suggested actions, […]

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Oncology Care Model (OCM) Bundle: 8 Summary Thoughts

June 24th, 2016

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 […]

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The Your Health Idaho Marketplace: A Model for State Based Adoption

September 24th, 2015

While the implementation of other ACA-compliant state-based marketplaces (SBMs) have been marred by technical issues and runaway budgets, the Your Health Idaho marketplace opened with few technical complications and touts an annual budget of less than $9 million.

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Measuring the Disruption Potential of Private Exchanges in a Value Economy

July 23rd, 2015

For three years, the market has been closely watching private health insurance exchanges that aspire to create new value in the group-market health insurance transaction.

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Responding to ‘Change Indicators’ Critical for Payers to Optimize Sales Cycle

January 1st, 2015

The ubiquitous spotlight of health reform wasn’t always this bright. The health care sector, like other markets, has had its share of change indicators over the years that have led to this moment.

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The Stage is Set: Predicting State and Federal Reactions to King v. Burwell

January 1st, 2015

Leavitt Partners’ latest white paper, The Stage is Set: Predicting State and Federal Reactions to King v. Burwell, is “a perceptive white paper that envisions federal and state contingency planning ahead of the landmark King v. Burwell Supreme Court ruling that could eliminate access to subsidized insurance coverage for millions of consumers.

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