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.

State-Based Health Care Innovation: What Flexibility Exists Under Section 1115 and 1332 Waiver Opportunities?
January 31, 2017

While a significant amount of uncertainty surrounding the content and timing of a replacement still exists, some Congressional leaders have reached out to states to explore options that would encourage innovative health care solutions at the state level.

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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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Accountable Care Organizations and Risk-based Payment Arrangements: Strong Preference for Upside-Only Contracts
November 30, 2016

Providers that are newly pursuing value-based care can determine how to be successful by examining the experiences of current and past accountable care organizations (ACOs).

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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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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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