Insights

Leavitt Partners Releases “Medicare Advantage Premiums Higher in Markets with Concentrated Health Plans” White Paper

Salt Lake City, November 15, 2017 – With Medicare Advantage open enrollment period already underway, it is important to examine the Medicare Advantage premiums paid by beneficiaries. Today, Leavitt Partners released, “Medicare Advantage Premiums Higher in Markets with Concentrated Health Plans,” a white paper that examines the relationship between the concentration (a measure of market … Read more

Leavitt Partners Releases “Medicare Alternative Payment Models: Not Every Provider Has a Path Forward” White Paper

Salt Lake City, September 11, 2017 –  Alternative Payment Models (APMs) have gained bipartisan support as a medium to produce the health care delivery transformations necessary to decrease health care costs and increase the quality of care. Today, Leavitt Partners released a new white paper, “Medicare Alternative Payment Models: Not Every Provider Has a Path … Read more

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

The Future of Medicare Telehealth Coverage: CBO Hesitates, Congress Inches Forward

As telehealth gains traction as a way to deliver health care, Medicare reimbursement remains a major obstacle to broad implementation due in part to scoring methodology from the Congressional Budget Office (CBO). Rather than decreasing health care costs, CBO’s scoring methodology assumes that telehealth increases utilization and therefore overall costs. Recent legislation on the Hill, … Read more

Delivering on the Promise of a Patient First Health Care System: A Compromise Approach to Site-Neutral Payments

Today, Leavitt Partners released a new policy framework that proposes a compromise path forward on implementing site-neutral payments. Medicare is an incredibly important program, providing more than 65 million Americans with access to robust health care benefits. As the program has grown, mounting concerns have been raised about its affordability for Medicare beneficiaries and the … Read more

New Report: Analyzing the Expanded Landscape of Value-Based Entities – Implications and Opportunities of Enablers for the CMS Innovation Center and the Broader Value Movement

New Report Analyzes the Expanding Landscape of Value-Based Entities     Research from HMA and LP VBP experts segments and sizes the growing enabler market, considering benefits and risks, and proposing guiding principles and policy recommendations for the CMS Innovation Center A new in-depth HMA report analyzes the landscape of emerging value-based entities and the implications … Read more

New Task Force Endorses Legislation to Save Rare Disease Treatments 

The Save Rare Treatments Task Force, a new multi-sector public policy and advocacy collaboration convened by Leavitt Partners, an HMA Company, publicly launched this week and today released a letter of support for recently introduced, bipartisan, bicameral legislation. The Task Force is comprised of organizations representing persons living with rare diseases, biopharmaceutical innovators, and other … Read more

CARIN Alliance and HHS Release Digital Identity Federation Report about their Test Proof of Concept

Washington, D.C., March 22, 2023 — The CARIN Alliance, a multi-sector collaborative of healthcare and other stakeholders working to advance the consumer-directed exchange of health information released a report today that lays the foundation for how individuals can voluntarily digital identity proof themselves once and use that same digital credential with multiple data holders of … Read more

CMS Targets Value-Based Purchasing, Drug Costs to Reduce Spending

A RevCycleIntelligence article entitled “CMS Targets Value-Based Purchasing, Drug Costs to Reduce Spending” references the Leavitt Partners “Accountable Care Organizations and Risk-Based Payment Arrangements: Strong Preference for Upside-Only Contracts” white paper. The article states, “About 61 percent of ACO contracts contain only upside financial risk, meaning organizations do not have to repay financial losses, a … Read more