A constant among many Medicaid programs is concern over rising costs. This applies to the 32 states that expanded their programs under the Affordable Care Act (ACA), and those that didn’t. In response, a growing number of states are eyeing alternative payment models (APMs), which reward health care providers for the value they offer, rather than the number of tests and services they perform.Read more
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It has been about six years since Atul Gawande, MD – a surgeon, writer, and public health researcher – profiled Jeffrey Brenner, MD, in an article in The New Yorker. Dr. Brenner used advanced analytics to identify patterns underlying health care utilization data, which he dubbed “hotspotting” It’s a term used by some police departments to identify high-crime areas.Read more
“I am in favor of progress; it’s change I don’t like.” Attributed to Mark Twain.
Twain wasn’t a doctor, but he could be speaking for countless physicians who – faced with a growing emphasis on measuring and reimbursing for value rather than volume – may still be a little uncertain about the shifting new world of health care.Read more
My mother, who is 77, has always been one of the healthiest people I know. For years, she played tennis and golfed regularly, took long walks with her dogs (most recently Shorty, the Welsh Corgi, and Topper, the Cairn Terrier), and went on more trips than I can count to Mexico, Europe, and around the US.Read more
Two weeks ago, I spent a full day talking to private equity companies, venture capitalists, and others at the J.P. Morgan Healthcare Conference in San Francisco. The meetings gave me the opportunity to share what I’m seeing around Washington and the changes in the health care system I am seeing in our research. They also gave me some time to learn about pressing issues for some of the top investors in the health care industry.Read more
Earlier this year, we discussed New Year’s resolutions for each of the health care industry sectors—health plans, health care providers, and life sciences. During that same month I set my own, and they were generally similar to the resolutions I set every year—eat better, drive slower, and read at least two books my 13-year-old likes so that we can talk about them together.Read more