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.

Moving Forward Together: Opportunities to Improve Program Integrity in Medicaid Non-Emergency Medical Transportation
July 24, 2019

This white paper reviews the non-emergency medical transportation (NEMT) benefit in Medicaid, with a focus on improving the program integrity of the NEMT benefit. The NEMT benefit enables Medicaid beneficiaries who lack reliable sources of transportation to use a benefit that will ensure they can access their primary care provider, dialysis appointment, child wellness check-up, […]

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Are ACO-Affiliated Hospitals Narrowing Their PAC Networks?
May 23, 2019

Since the inception of Accountable Care Organizations (ACOs), affiliated health care stakeholders have experimented with various methods to help them achieve their goal of coordinating high-quality and cost-efficient care. ACOs were first implemented within the Medicare payment system in 2012, and ACO leaders continue to test care delivery transformation innovations to enable further opportunities for […]

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No Evidence That ACO-Affiliated Hospitals Are Narrowing Their PAC Networks
May 22, 2019

This white paper details the findings from an analysis of Medicare claims data that was compared with Accountable Care Organization (ACO) affiliation data from Torch Insight™, a proprietary analytics platform and compendium of health care data. Hospitals affiliated with or owned by an ACO are financially incentivized to manage the health and health care costs […]

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One Step Closer to Value-based Care: CMMI Announces New Primary Care Payment Models
May 6, 2019

Last week, the Centers for Medicare & Medicaid Services (CMS) announced what Health and Human Services Secretary Alex Azar called “an historic turning point in American health care:” the Primary Cares Initiative. This series of primary care-focused payment models—designed to transform primary care payments more directly to reward value—will test five new payment model options […]

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The Medicaid ACO Landscape
May 1, 2019

This white paper provides insight into the number, geographic dispersion, characteristics, and success of Medicaid ACOs as of the end of 2018. This snapshot of Medicaid ACOs was created using data from Torch Insight™, a proprietary analytics platform and compendium of health care data. Although Medicaid ACOs have not grown to the same extent as […]

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Political Checkpoint: 2019 National Health Policy Agenda
April 18, 2019

On April 18, 2019, Leavitt Partners hosted a webinar focused on helping you track the most important health policy developments in Washington D.C.  For details and to listen to the recording, click here.  

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The 2018 ACO Survey: Unique Paths to Success
March 29, 2019

This white paper reports the findings from the 2nd Annual ACO Survey of 203 Accountable Care Organizations, conducted in collaboration with the National Association of ACOs (NAACOS), to better understand current trends and predict future developments relating to ACOs. The survey covered topics related to contracting, financial risk, organizational structure, program initiatives, challenges, and priorities. […]

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Multi-Year Medicare Advantage Plans: A Framework for Action
March 20, 2019

This paper proposes a framework for action to begin to remove institutional and traditional barriers to a value-based health insurance product. In the United States, health insurance is typically a one-year contract between a plan participant and an insurer, though some employers may have multi-year contracts. There are a variety of reasons health insurance is […]

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