Leavitt Partners Blog

Challenges for Small Rural Practices in Value-based Care
December 14, 2016

The Government Accountability Office (GAO) recently issued a report outlining five key areas in which smaller, rural physician practices tend to struggle as they shift from fee-for-service reimbursement to value-based care. Given the unique nature of rural medicine, and the fact that value-based payment will continue to grow, it is important to understand these challenges […]

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Analysis of 52 PAC Trends
November 28, 2016

PAC represents the next frontier of opportunity for the success of ACOs, BPCI Model 2 participants, and CJR hospitals. In fact, of the ACOs which achieved shared savings, most attribute their success to closer PAC care coordination. Hospitals are narrowing networks, wanting to find the best PAC partners possible, and stronger care pathways and coordination are taking place at unprecedented levels.

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State Innovation Waivers, the Next Wave of Health Care Reform?
November 17, 2016

One potential ACA replacement strategy could include punting health care reform to the states. The incoming administration could accomplish this is by significantly relaxing the 1332 innovation waiver requirements.

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Is the Blockchain a Potential Cure for Securing Health Care data?
September 14, 2016

From a security perspective the last 24 months have proven to be quite detrimental to the health care industry with dozens of successful and very public and costly cyber / malware attacks. These attacks are relentless and increasing.  As the health care industry explores solutions to mitigate and defend against attacks, one technology that is […]

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Medicare Advantage: CMS’ First Step into Value Based Care is Now Coming Full Circle
September 1, 2016

Medicare Advantage (MA) offers Medicare benefits through private health plans, providing an alternative to the traditional, federally-administered program. Also known as Medicare Part C, this private option traces its roots to the 1970s and received its current name and form in the Medicare Modernization Act of 2003. Since then, the number of enrollees has grown […]

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Colossal Rate Increases; The Exception Or The New Rule
August 10, 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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CMS Proposes New Mandatory Bundled Payment Models: 4 Observations
July 29, 2016

On July 25, 2016, CMS announced a proposed rule to provide additional incentives for hospitals to provide higher quality care at a lower cost. The proposed rule seeks to increase coordination of care and decrease costs for heart attack and bypass surgery patients, creates a new Surgical Hip/Femur Fracture Treatment model (SHFFT), and outlines a […]

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Incentivizing Young Adults to Buy Health Insurance
July 8, 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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