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.

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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The Cost of Quality: How Star Ratings Can Influence Monthly Premiums in Medicare Advantage Plans
November 14, 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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Improving Health Outcomes Through Prevention
October 27, 2016

To succeed, value-based models need to broaden their focus to include identifying the rising-risk population and proactively incorporating interventions to prevent exacerbations of unmanaged chronic conditions.

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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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Regulatory Frameworks for Community Health Workers Programs
September 14, 2016

Health reforms in recent years have opened up the door to greater use of Community Health Workers (CHWs) due to their role in working with higher-risk populations.

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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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