The price of innovation: 3 steps for managing specialty drug costs
Health plans can help control the cost of specialty drugs by communicating with providers about appropriate treatments, integrating coordination of pharmacy and medical benefits and implementing fixed-price models.
Analysis: What healthcare providers need to know about short-term limited-duration health insurance products going into 2020
Healthcare providers need to be aware they will likely encounter an increase in the number of patients who have purchased short-term health insurance, with its limited benefits, that will be available on the healthcare exchange in 2020.
Congress is still expected to pass a surprise-bill measure this year
Congress is likely to enact surprise-bill legislation in the waning days of 2019, according to policy advisers.
How one ACO leveraged universal truths of value-based contracting for success
A finance leader of successful East-coast accountable care organization describes the key factors that have enabled the ACO to thrive under value-based payment contracts.
Analysis: Haven’s first moves: Benign or disruptive?
The rollout of Haven insurance in 2020 for the 1.2 million combined employees of Amazon, JPMorgan Chase and Berkshire Hathaway should not be dismissed by other industry players.
Analysis: ‘Medicare for All’ supporters more concerned about cost
New survey results: Those that favor Medicare for All are more dissatisfied with the cost of healthcare and concerned about paying for care if they became ill.
Who’s afraid of the federal debt?
A review of the possible implications for alternative payment models and provider payment rates in the wake of the national debt cresting at $1 trillion with a possible recession looming.
Social determinants of health: Pushing the boundaries of healthcare
Addressing the social determinants of health is vital to improving health outcomes, but meaningful improvement requires new levels of collaboration.
Analysis: Walmart’s Centers of Excellence program goes local
Walmart’s use of Embold Health to provide its employees with access to high-quality, cost-efficient providers has the potential for broader impact.
Analysis: Amazon acquires care navigator to integrate into virtual care solution
A review of how Amazon will monetize what it learns from managing populations now that they have own their own virtual care navigator.