Leavitt Partners Blog

Dual Eligibles: Lessons Learned & Future Implications
June 28, 2017

Dual-eligible enrollees account for a disproportionately sizeable proportion of spending in both Medicare and Medicaid programs. However, until recently, these nearly 11.5 million[i] enrollees have not been in the spotlight in discussions regarding the move toward value-based payments.

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Micro-Hospitals: A Unique Opportunity to Deliver Care to Underserved Areas Amidst the Transition to Value
June 14, 2017

Micro-Hospitals Defined While the health care industry continues to shift from volume to value, costs of inpatient care continue to rise, averaging $2,346 per inpatient per day. Consequently, payers and providers are seeking new ways to reduce hospital length of stay (LOS) and deliver care at less costly locations. One such mechanism is the emerging […]

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HIP Table Top Recap: Opportunities for Advancing Chronic Disease Prevention and Management
June 12, 2017

On May 18, Leavitt Partners Health Intelligence Partners hosted over 25 health care leaders from both the public and private sectors to discuss opportunities for advancing chronic disease prevention and management. Ursula Bauer from the Centers for Disease Control and Prevention, former Acting Assistant Secretary of the Department of Health and Human Services Karen DeSalvo, Dr. […]

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The Future of Medicare Telehealth Coverage: CBO Hesitates, Congress Inches Forward
June 8, 2017

As telehealth gains traction as a way to deliver health care, Medicare reimbursement remains a major obstacle to broad implementation due in part to scoring methodology from the Congressional Budget Office (CBO). Rather than decreasing health care costs, CBO’s scoring methodology assumes that telehealth increases utilization and therefore overall costs. Recent legislation on the Hill, […]

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CJR: Playing the Waiting Game
June 6, 2017

On April 1, 2016, the Comprehensive Care for Joint Replacement (CJR) model program took effect, affecting roughly 800 hospitals across 67 markets.  Prior to the program becoming active, Leavitt Partners published a blog post stating, “Time will tell whether hospitals and providers will succeed with quality improvements and savings generation under this new program.” One […]

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Maryland and Vermont: Lessons in Health Care Reform
June 5, 2017

Introduction During the 1970s, in an effort to limit rising health care expenditures, several states adopted various forms of all-payer rate-setting models, where all payers pay the same price for services at a given facility. Over time, most state models failed and only Maryland’s all-payer hospital rate-setting system remains. Recently, there is renewed interest in […]

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So You’re Thinking about Bundling: Where to Start & With Whom
May 15, 2017

Bundled payments are a great option for organizations that are interested in taking on risk, but don’t have the appetite to form an ACO. Bundle payments group costs associated with a particular treatment or episode of care, offering health systems a longitudinal look at the care cycle that can help them efficiently allocate resources. The CMS Bundled […]

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The “Exit Polls”: Initial Thoughts on PTAC’s First Meeting
May 11, 2017

Background The Centers for Medicare and Medicaid Services (CMS) has initiated a process whereby physicians and other stakeholder entities can design physician-focused payment models (PFPMs) that fit with their clinical practices, while also providing better outcomes for patients, and recommend such models to the Health and Human Services Secretary (the Secretary) for consideration and/or further […]

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