Insights

The Medicare-Medicaid ACO Model: Addressing Dual Eligibles’ Costs

Dual eligibles, individuals enrolled in both Medicare and Medicaid, are among the highest-need, highest cost patients in the United States. Although it is difficult to determine the exact number of dual eligibles, a 2012 Kaiser Family Foundation report estimates that dual eligibles comprise 21 percent of the Medicare population and 15 percent of the Medicaid population. However, … Read more

Leavitt Partners to Present Research at 2017 AcademyHealth Annual Research Meeting

Salt Lake City, June 23, 2017 — Leavitt Partners is pleased to announce that the firm will present 10 research posters and provide three presentations, supported by eleven researchers, at the AcademyHealth Annual Research Meeting (ARM) in New Orleans, LA June 25-27, 2017. The ARM is the premier forum for health services research, with a … Read more

Dual Eligibles: Lessons Learned & Future Implications

Introduction Dual-eligible enrollees account for a disproportionately sizeable proportion of spending in both Medicare and Medicaid programs. However, until recently, these nearly 11.5 million[i] enrollees have not been in the spotlight in discussions regarding the move toward value-based payments. One of the biggest challenges in moving dual eligibles to value-based payments is solving the logistical and … Read more

CJR: Playing the Waiting Game

On April 1, 2016, the Comprehensive Care for Joint Replacement (CJR) model program took effect, affecting roughly 800 hospitals across 67 markets.  Prior to the program becoming active, Leavitt Partners published a blog post stating, “Time will tell whether hospitals and providers will succeed with quality improvements and savings generation under this new program.” One year into … Read more