A single-payer system based on Medicare rates poses inherent challenges
A payment model under which 100% of payments are based on Medicare rates r\aises important questions of how to fund such a plan.
Is Walmart taking a page out of Clayton Christensen’s playbook?
Walmart developing a low-cost service focused on a segment of the market that traditional players tend to avoid – the uninsured and underinsured – may signal ambitions to move further into healthcare delivery.
Key takeaways from North Carolina’s move to value-based healthcare
Keith Moore, CEO of McManis Consulting, shares his perspectives on North Carolina’s move to value-based payment and what it means for hospitals and health systems nationwide.
Elizabeth Warren’s Medicare-for-All plan: The devil in the details
Any objective analysis of Elizabeth Warren’s proposal for Medicare for All should consider its enormous societal and federal costs, and its likely impacts on the health insurance industry and hospitals.
Feb. 2-7: Senate hearing on private provider care for veterans is among upcoming healthcare finance events
A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Feb. 2.
Analysis: Aspire Health Founder Brad Smith chosen as new CMMI director
The change in CMMI leadership could mean long-anticipated models are released, and may signal more emphasis on palliative care in future models based on Brad Smith’s background.
Atrius Health: Experience with global-risk contracts paves way to success in new arrangement
Previous success in risk-based contracts will allow Atrius Health to thrive in its new global-risk arrangement with Blue Cross Blue Shield of Massachusetts, two of the provider’s leaders write.
Cautionary tales: Why some payer-provider initiatives have stumbled
Health system leaders that are considering launching a provider-sponsored health plan can take a lesson from the experiences of organizations that faced challenges in pursuing such a strategy.
Many voters oppose giving government authority to set all healthcare prices
More voters oppose broad government rate-setting than support such an approach to addressing healthcare cost increases, according to a poll.
A tailored approach to value-based care product development
To be successful, a value-based-payment initiative must be tailored to the provider organization's market and capabilities.