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.

The Coming of Mandatory Bundled Care: The Comprehensive Care for Joint Replacement Program (CJR)
January 29, 2016

On November 16, 2015, the Centers for Medicare and Medicaid Services (CMS) finalized the Comprehensive Care for Joint Replacement (CJR) model, its first mandatory bundled payment initiative.

Read More >
Projected Growth of Accountable Care Organizations
December 23, 2015

In this paper, we present projections of how the ACO model is likely to grow under four possible future scenarios.

Read More >
MACRA: Quality Incentives, Provider Considerations, and the Path Forward
December 21, 2015

In April 2015, a divided Congress almost unanimously passed a landmark law that will permanently change the way physicians and other health care providers are paid for Medicare services. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the sustainable growth rate formula with physician payments tied to quality.

Read More >
Assessment of the Hospital Value-Based Purchasing Program: Current Results and Opportunities for Improvement
November 16, 2015

This paper provides an analysis of the hospital value-based purchasing program, specifically examining regional differences, performance over time, comparison to other programs, and policy implications.

Read More >
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.

Read More >
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.

Read More >
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.

Read More >
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.

Read More >