Navigant Consulting, Inc.: Hospitals and Health Systems Prepare to Assume More Risk
: This research highlight discusses key takeaways from a May 2019 HFMA study of hospital and health system senior financial executives about their organizations’ interest in and capabilities for assuming risk.
Analysis: Details about CVS/Aetna’s 2 new pilot programs
HFMA’s Chad Mulvany reviews the details of CVS/Aetna’s two new pilot programs focused on improving outcomes for its members.
Analysis: UAW provides direct primary care to manage healthcare costs
A review of the benefits for both healthcare providers and unions when they partner to offer union members direct primary care.
Analysis: What CVS’s paid membership expansion means for healthcare
A review of the details of CVS’s new nationwide paid membership program and what this could mean for the healthcare industry.
Provider Risk Readiness Report
The results of a May 2019 HFMA study about risk readiness in which hospital and health system senior financial leaders share insights on their organizations’ risk capabilities and tolerance.
Slow expansion of SDOH benefits expected in 2020 MA health plans
MA health plans are expected to incrementally increase in 2020 their use of programs targeting the social determinants of health.
Analysis: New mandatory radiation therapy payment model
Details about the new five-year mandatory radiation therapy model released by CMS the week of July 8 are reviewed.
Mandatory models among 6 newly proposed Medicare demos
Mandatory models for kidney care and oncology were among six new Medicare payment models proposed in mid-July.
ZDoggMD: How to get to healthcare 3.0
Motivational healthcare speaker urges changes to encourage and allow providers to engage emotionally with patients and drive real change.
3 details for healthcare providers to know before taking on risk
Providers looking to take on downside ACO risk need to first understand three determinants of success.