Insights

The MACRA All-Payer Advanced APM Pathway: System-Wide Implications

Background The Quality Payment Program (QPP) under MACRA is now more than three months underway into the first payment year. However, there are still many nuances of the program, specifically under the multi-payer Advanced APM option, that payers —including commercial, Medicare Advantage, and Medicaid — and clinicians need to understand before they can begin collaborating, … Read more

The Future of Medicaid

The Affordable Care Act turned Medicaid into America’s largest public health care coverage program. While the volume associated with this growing program created increasing opportunities for providers, health systems, health plans, and vendors, these same stakeholders shouldn’t write off opportunities in Medicaid now simply because of the change in direction at the federal level. Instead, … Read more

A New Approach to Help Advance Health IT Interoperability

Interoperability within health care has long been a goal within the health care IT ecosystem. Historically, interoperability has been focused on providers exchanging data with other providers under HIPAA. Although advances have been made, true data liquidity between providers, consumers, and caregivers has yet to be achieved. It is essential to find better ways to … Read more