Fueled by recent regulatory action such as the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), many health care stakeholders are beginning to embrace the concept of value-based care. They also are looking to care management as a core strategic investment that can help them succeed under the new payment incentives.Read more
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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,Read more
The nature of work across almost every industry is being disrupted by rapidly evolving digital technology – driving increased automation, affecting the proximity of where work is performed, and giving rise to new and open talent models. According to a recent study, approximately 47% of jobs could be automated in the next twenty years.Read more
Many health care stakeholders are only beginning to consider the potential of blockchain – a type of shared distributed ledger that is already being tested in industries ranging from investment banking to sports television programming. The concept, which is the backbone of the digital currency Bitcoin, could be a game changer for health care by making health information exchange more secure,Read more
On October 12, the White House issued an executive order directing the Departments of Health and Human Services (HHS), Treasury and Labor to consider promulgating new rules – or reinterpret existing ones – to affect the small group and individual insurance markets with the stated goal of expanding consumer choices. Since its release, quite a bit of information (and some misinformation) has come out about the order’s potential impact on the markets.Read more
Health care stakeholders have long recognized that factors outside the health care system –the social determinants of health (SDoH) – influence an individual’s health and well-being. Many hospitals, health systems, and health plans are navigating the challenges of effectively linking data related to the SDoH and clinical services to improve health outcomes in the long term.Read more