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Does your investment portfolio contain only one stock? No. Risk-based contract portfolios should be diversified too.

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

Hospitals and health systems will take on gain/loss sharing contracts at different speeds, depending on their own capabilities and the demand in the market. After decades of fee-for-service contracts, it can be difficult and intimidating for a provider organization to move to these arrangements. For many health systems, there will never be a perfect time to start entering into gain/loss sharing contracts.

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Risk sharing: You’ve signed the contract… but what’s next?

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

In this third post in our series on navigating strategic risk contracting, we’ll discuss what takes place after negotiations conclude and a health system has entered into a gain sharing or other type of risk sharing contract. This is where the work to succeed on those contracts begins and effective tracking of contract performance is key.

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2018 health plans outlook: More policy uncertainty likely ahead, but larger market shifts and business trends continue to redefine the sector

by Greg Scott, Vice Chairman, US Health Plans Leader, Deloitte LLP

Looking back on health plan sector developments in 2017, much media attention focused on efforts to repeal and replace the Affordable Care Act (ACA). While the continuing ACA political drama is certainly newsworthy, it’s important to stay focused on larger, abiding trends that are reshaping the health plan sector – and the US health care industry overall.

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By 2025, health plan CIOs should have their heads in the cloud

by Jason Wainstein, principal, Deloitte Consulting LLP

The emergence of cloud-based environments, new applications, and artificial intelligence (AI) could render legacy information technology systems obsolete, and could dramatically alter health plan IT within the next decade. As the health care industry continues its rapid transformation, I think some health plans could face an identity crisis. Carriers that thrive in this new environment will likely be those that can take advantage of vendor-based technologies and determine how to add value for their members and to the health care system overall.

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With medtech margins under pressure, is a push to solutions the answer?

by Yakir Siegal, Partner, Deloitte Consulting LLP

In the early 1990s, competition among personal computer manufacturers intensified as pricing pressure from new entrants made the overall sector less profitable. The companies that thrived were those that positioned themselves as sellers of solutions – rather than merely computer vendors. For those companies, computers became one component in a broad technology solution that was sold to customers.

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Back to school: The reading, writing, and ‘rithmetic of health care

by Sarah Thomas, Managing Director, Deloitte Center for Health Solutions, Deloitte Services LP

Well, it is that time of year again, when dry leaves start skittering around and the days get shorter. School supplies have been purchased and tucked into backpacks, and first-day-of-school photos have been filling up my Facebook page. Summer recess is also over for Congress, which returned to work after Labor Day. What can we expect from the Senate and the House during what remains of 2017?

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