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.

Federal Flexibility Under Section 1115 Medicaid Demonstrations
October 7, 2015

Many states have been forcefully arguing for the Department of Health and Human Services (HHS) to grant extensive flexibility in the state administration of the Medicaid program.

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The Your Health Idaho Marketplace: A Model for State Based Adoption
September 24, 2015

While the implementation of other ACA-compliant state-based marketplaces (SBMs) have been marred by technical issues and runaway budgets, the Your Health Idaho marketplace opened with few technical complications and touts an annual budget of less than $9 million.

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The Rise and Future of Medicaid ACOs
September 10, 2015

No two models nor markets are alike, and the pace and prevalence of Medicaid accountable care growth will largely depend on states’ ability to generate savings and successfully overcome common and unique challenges over the long run. This paper contains a state-by-state landscape analysis.

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Measuring the Disruption Potential of Private Exchanges in a Value Economy
July 23, 2015

For three years, the market has been closely watching private health insurance exchanges that aspire to create new value in the group-market health insurance transaction.

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Analysis of California Home Health Care: Decreasing Access for Medi-Cal Patients
June 16, 2015

Significant growth in new Medi-Cal enrollees and a lack of growth in agencies willing to provide services to Medi-Cal enrollees suggests an increasing access-to-care gap materializing between Medi-Cal patients and non- Medi-Cal patients for home health services.

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King vs. Burwell Contingency Planning: A Framework for Governors and State Legislators to Consider
June 15, 2015

This analysis provides four options available to governors and state legislators in the event that Congress and the administration do not succeed in a legislative remedy.

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Dental Care in Accountable Care Organizations: Insights from 5 Case Studies
June 9, 2015

As the health care system continues to evolve toward increased coordination of care and value based payment, there could be further opportunities for better coordination of dental and overall medical care.

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How Accountable Care Impacts the Way Consumers Receive Care
May 16, 2015

With most of the literature on the accountable care movement written for providers, payer and academic audiences, this brief aims to inform everyday consumers, describing the various complexities of ACOs and their potential impact.

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