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.

Medicaid

Leavitt Partners Selected to Participate in the Massachusetts Delivery System Reform Incentive Payment Technical Assistance Marketplace

September 21st, 2018

Salt Lake City, September 21, 2018 –Today, Leavitt Partners announced that the firm has been selected to participate in the Massachusetts Delivery System Reform Incentive Payment (DSRIP) Technical Assistance (TA) Program and TA Marketplace. The TA Marketplace is part of a broader initiative of  MassHealth, the Commonwealth of Massachusetts’ Medicaid and Children’s Health Insurance Program, […]

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Medicaid Expansion Finds Grass-Roots Support in Conservative Utah

September 11th, 2018

Andrew Croshaw provided commentary on Utah’s Medicaid expansion ballot initiative for a New York Times article entitled “Medicaid Expansion Finds Grass-Roots Support in Conservative Utah.” “Polls suggest that the ballot measure is likely to pass,” said Andrew Croshaw, Leavitt Partners CEO. “If it fails it will be close. It could pass easily. So far we […]

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Medicaid ACOs on the Rise, but Differ Greatly Amongst States

August 20th, 2018

A Provider article entitled “Medicaid ACOs on the Rise, but Differ Greatly Amongst States” presents key findings and provides a brief overview of the four different types of Medicaid ACOs as described in the Leavitt Partners “Medicaid ACOs: Understanding Different State Approaches” white paper.

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A Uniquely American Health System

August 16th, 2018

As the United States continues to move toward a value-based health care system, significant challenges slow down our progress. Political pressure exists from all sides, incentives have yet to be appropriately aligned, and the pressing need to change stakeholder behavior remains a time-sensitive imperative. Solving these challenges requires going beyond admiring the challenges to implementing […]

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Medicaid ACOs: Understanding Different State Approaches

August 14th, 2018

Medicaid accountable care organizations (ACOs) differ from state to state. To understand these differences, Leavitt Partners developed a framework that explains four approaches states take to establish ACO programs. The framework considers the level of state engagement with the ACO based on whether a Medicaid managed care organization (MCO) exists in the state and the MCO’s degree of involvement. The framework can […]

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Health Care Markets: What Matters and Why

July 30th, 2018

Many factors, including rising health care costs, the transition to value-based payments, and technological innovations, are causing the health care landscape to change rapidly. Health care entities seeking to understand geographic market-level changes or to expand into new markets not only encounter an increasingly complex environment, but also must contend with the unique dynamics of […]

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Leavitt Partners Releases “Health Care Markets: What Matters and Why” White Paper

July 30th, 2018

Salt Lake City, July 30, 2018 –Today, Leavitt Partners released “Health Care Markets: What Matters and Why,” a white paper that provides a framework for health care entities to make evidence-based decisions on when, where, and how to start, expand, or invest their business. Amidst a rapidly changing health care environment, a health care market […]

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The Other Medicaid Drug Rebate News: Oklahoma’s State Plan Amendment

July 9th, 2018

On June 27, 2018, the Centers for Medicare & Medicaid Services (CMS) approved a state plan amendment (SPA) authorizing Oklahoma’s Medicaid program to enter into value-based purchasing arrangements with drug manufacturers. The new SPA permits the state to negotiate supplemental drug rebates based on performance and outcome benchmarks as part of a value-based contract, which […]

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