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A FierceHealthcare article entitled “Study: Medicare Advantage premiums higher in markets with less payer, hospital competition” highlights the Leavitt Partners “Medicare Advantage Premiums Higher in Markets with Concentrated Health Plans” white paper. The article references a few of the key findings and states, “Given these findings, researchers said policies that encourage competition, monitor current levels of competition and deter decreases in competition may help avoid future premium increases for MA beneficiaries.”
Leavitt Partners “Growth Of ACOs And Alternative Payment Models In 2017” Health Affairs Blog was referenced in a RevCycleIntelligence article entitled “29% of Healthcare Payments Under Alternative Payment Models.” The article states, “Ninety-two new organizations started operating as ACOs in 2016, bringing the total number of ACOs to 923 nationwide by the start of 2017, a recent Leavitt Partners and Accountable Care Learning Collaborative analysis stated.”
David Muhlestein was interviewed for a Modern Healthcare article entitled “CMS loses money as Medicare ACOs remain risk-averse” examining the most recent federal data on the CMS Medicare Shared Savings Program (MSSP). “If everyone were at risk, it would have been a profitable year (for the CMS),” David said. He also noted that a $39 million loss (just 0.05 percent of the costs) is quite low for Medicare.
An American Journal of Managed Care article entitled “Navigating the Politics of the Healthcare Landscape” provides a recap of Clay Alspach’s remarks at the ACO & Emerging Healthcare Delivery Coalition® Meeting on October 27. Clay addressed the current status of the ACA repeal and replace efforts, expiring health programs, and drug pricing and importation. “The rule of the past 12 months has been to prepare and expect the unexpected,” Clay said.
In an HFMA article entitled “In the Wake of Hurricanes, Hospitals Should Revisit Their Emergency Preparedness Plans,” Lia Winfield discusses seven key points hospitals should address as they revisit their hospital emergency plans: self-sufficiency, communication, reputation, staff, leadership, finances, and mental health. Lia aggregated the key takeaways from governmental and academic reports. She also cites Governor Leavitt’s previous pandemic and emergency preparedness publications.
David Muhlestein commented on the most recent Shared Savings and Pioneer ACO model results for a Bloomberg BNA article entitled “Coordinated Care Models Save Medicare Big Bucks.” “Hospitals and physicians are continuing to join these models as they realize health care will eventually be paid on value-based payments,” David said. “Many ACOs are just starting to get used to the programs, therefore earning more savings”. The commentary was also referenced in a McKnight’s Long-term Care News article entitled “ACOs saved Medicare more than $700 million in 2016”.
According to a Healthcare Informatics article entitled “Specialty Societies to MedPAC: MIPS Should Stay Put,” the Alliance of Specialty Medicine referenced the Leavitt Partners “Medicare Alternative Payment Models: Not Every Provider Has a Path Forward” white paper in a letter to MedPAC noting its opposition to the commission’s recent suggestion to repeal the Merit-based Incentive […]
A Becker’s Hospital Review article entitled “Leavitt Partners: Costs in individual market converging with group markets, but premiums lag” highlights the Leavitt Partners “Nationally, Individual and Group Market Costs Increasingly Similar” white paper. The article provides a brief overview of the study and notes the difference between the 2010 and 2016 claim costs per member per month for the individual market vs. group market.
Governor Leavitt provided his thoughts about the benefits of declaring the opioid crisis a national emergency for a CBS News article entitled “How complicated is it to declare opioids a national emergency?” Governor Leavitt noted that the Trump administration is likely evaluating possible legal ramifications and unintended consequences before declaring a national emergency declaration. Governor Leavitt said, “This is of a national scope but I’m suggesting that what the president said about it being complicated is right.”
A RevCycleIntelligence article entitled “Specialists Face 16% MIPS Payment Adjustment Swing Under Proposal” references the Leavitt Partners “Medicare Alternative Payment Models: Not Every Provider has a Path Forward” white paper. The article states, “However, recent research from Leavitt Partners revealed that specialists have few, if any, APM options. Specialists from emergency medicine and audiology had no Medicare alternative payment model opportunities and respiratory therapists only had three models they can join.”