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.

Paying for Poor Choices
October 23, 2018

Early this year former Treasury Secretary Larry Summers made a case for taxing sugary drinks and cigarettes to deter individuals from consuming products that lead to obesity and chronic disease. Taxing such products could gain importance as policy makers consider comprehensive coverage policies such as “Medicare for all.” The reason is based both on principle […]

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Examining Pessimism Among Physicians: 2017 Survey on Physicians’ Outlook on the Practice of Medicine
October 18, 2018

Physician satisfaction is an important component in the effort to improve health care access and quality and reduce costs. In a nationwide survey of 621 physicians, we found that 38 percent of physicians reported having a pessimistic outlook on the practice of medicine today. In this study, we identified physician characteristics that are correlated with […]

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Medicaid Closed Drug Formularies: A Closed Door or a Path Forward?
October 2, 2018

As we noted in July, CMS declined Massachusetts’ Medicaid 1115 demonstration request to establish a closed formulary.  The proposed program would have given Massachusetts the ability to exclude certain FDA-approved drugs from coverage and thereby given the state additional leverage in negotiating rebates.  The state and drug manufacturers would have otherwise continued to be subject […]

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Evaluating the Performance of State Individual Markets Using the Individual Market Effectiveness Index
September 27, 2018

Current efforts to effectively understand the individual market are often limited because they take a national rather than state view of the individual market. The individual market’s performance can vary significantly by state and meaningfully evaluating its performance requires a state-by-state examination. We developed the individual market effectiveness index (IMEI) to provide a more nuanced […]

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ACO Maturity Score
August 29, 2018

As the market is broadly moving toward value-based care, it is important to develop tools to evaluate value-based models, understand different ACOs’ levels of engagement and experience with value-based care, and measure the readiness of individual organizations to successfully bear risk.

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A Uniquely American Health System
August 16, 2018

As the United States continues to move toward a value-based health care system, significant challenges slow down our progress. Political pressure exists from all sides, incentives have yet to be appropriately aligned, and the pressing need to change stakeholder behavior remains a time-sensitive imperative. Solving these challenges requires going beyond admiring the challenges to implementing […]

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Medicaid ACOs: Understanding Different State Approaches
August 14, 2018

Medicaid accountable care organizations (ACOs) differ from state to state. To understand these differences, Leavitt Partners developed a framework that explains four approaches states take to establish ACO programs. The framework considers the level of state engagement with the ACO based on whether a Medicaid managed care organization (MCO) exists in the state and the MCO’s degree of involvement. The framework can […]

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Health Care Markets: What Matters and Why
July 30, 2018

Many factors, including rising health care costs, the transition to value-based payments, and technological innovations, are causing the health care landscape to change rapidly. Health care entities seeking to understand geographic market-level changes or to expand into new markets not only encounter an increasingly complex environment, but also must contend with the unique dynamics of […]

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