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2018 outlook: Life sciences firms could see some legislative headwinds, regulatory momentum

by Greg Reh, Vice Chairman, US and Global Life Sciences Leader, Deloitte LLP

For many US life sciences and health care companies, 2017 was a year of market and legislative uncertainty. Much of the year was dominated by on-again-off-again efforts to repeal and replace the Affordable Care Act (ACA), which has now turned to discussions about reforming the tax code. For some life sciences companies, this uncertainty created a wait-and-see approach to investments – particularly mergers and acquisitions (M&A).

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Is Dr. Smith in my network? MA enrollees want directories they can count on

by Danielle Moon, Specialist Leader, Deloitte Consulting LLP

During the early part of the decade, I was at the US Center for Medicare and Medicaid Services (CMS) where I headed a group that oversaw the Medicare Advantage (MA) program. At the time, MA provider directories really weren’t on our radar. But these electronic directories have come under scrutiny recently, and CMS is now conducting audits to help ensure the information is up to date and correct.

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While the target is critical, do year-end losses on risk-based contracts even matter?

by Mark Bethke, FSA, MAAA, Managing Director, Deloitte Consulting LLP

As we discussed in part 1 of this series, health systems (hospitals and provider organizations) continue to take on more and more gain/risk sharing contracts. A key question for this type of contract is understanding how it will affect revenue and margins.

To help answer this question, while assessing what can be a very complicated contract,

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Hospitals could find a silver lining in the cloud

by Chris Harris, Specialist leader | Deloitte Consulting LLP

Pennsylvania Hospital, the oldest public hospital in the US, opened its doors in 1755 and built the nation’s first surgical amphitheater 50 years later. In the early 19th century, this surgical area on the hospital’s top floor offered state-of-the-art technology. Procedures were usually conducted in the mid-afternoon – ideally on cloudless days – to take full advantage of the large glass skylight high above the operating table.

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2018 outlook: Many hospitals and health systems will be straddling two canoes

by Steve Burrill, Vice Chairman, US Health Care Providers Leader, Deloitte LLP

As we paddle into 2018, many hospitals and health systems are rowing upstream – with a bit of choppy water ahead – straddling two canoes. The smaller canoe is value-based care, and many CEOs are trying to find stable footing. The other shoe remains firmly planted in the larger fee-for-service (FFS) or volume canoe.

In a recent survey conducted by the Deloitte Center for Health Solutions,

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Disrupting the social determinants of health: From exponential medicine to exponential health

by Josh Lee, Principal | Life Sciences & Health Care, Deloitte Consulting LLP

The year was 1989. I was an undergrad at Columbia University. I had a lot more hair than I do now and odd glasses – which by the way are now back in style. Seinfeld made its big debut on television and the Berlin Wall came down.

New York City had been experiencing a crisis throughout the 70s and 80s and there was a full-fledged epidemic of homelessness.

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