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.

Risk

More Medicare ACOs Will Take On Risk in 2018

January 10th, 2018

David Muhlestein provided his insights regarding ACOs taking on risk for a Modern Healthcare article entitled “More Medicare ACOs will take on risk in 2018.”

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Delivery System Reform Hampers ACO Progress on Risk-Based Contracts

October 10th, 2017

A Modern Healthcare article entitled “Delivery system reform hampers ACO progress on risk-based contracts” cites the Leavitt Partners and NAACOS “The 2017 ACO Survey: What Do Current Trends Tell Us About The Future Of Accountable Care?”

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Leavitt Partners Releases “Why Patients Readmit” White Paper

August 24th, 2017

Salt Lake City, August 24, 2017 –  The implementation of the Comprehensive Joint Replacement (CJR) bundle, and the recently proposed changes to the program, have increased scrutiny on hospital readmissions and their causes. Today, Leavitt Partners released a new white paper, “Why Patients Readmit: Using a Readmission Curve to Identify Patients at Risk for Hospital […]

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Charlie Brown, Lucy, and Risk Corridor Payments

February 17th, 2017

On October 13, 2015, your humble blogger received the AIS Inside Health Insurance Exchange quote of the day related to non-payment of the Risk Corridor payments, “…. there was a contract going into this that there would be certain protections… and plans would price as best as they could, knowing that there was no actuarial precedent for the risk. The news that CMS could pay carriers 12 cents for every dollar requested for the first year of the risk corridor program felt like Lucy moving the football at the last second.”

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The Accountable Care Paradigm: More than Just Managed Care 2.0

June 24th, 2013

Accountable care organizations have become an emphasis in health policy circles, but some feel they represent the return of 1990s managed care.

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