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The value-based reimbursement model predicted by hospital/health system and payer leaders to dominate the reimbursement market is also the one they say will be hardest to implement.
Insurers selling public exchange plans last year faced a lot of uncertainty. This year it's a bit better, but the plans remain a product design experiment with confounding variables in an environment much in flux.
The value-based reimbursement model predicted by many to dominate the reimbursement market is also the one they say will be hardest to implement.
If your state is building a health insurance exchange, or you hope it ultimately will, the experience of Washington, Kentucky and Minnesota can help.
To some, many of the new bronze-level health plans sold in public exchanges are de facto catastrophic plans. Others say, "Not so," as young people especially need more low-premium plans.
In the new era of individual consumer-based health insurance, insurers have to earn the trust of Americans if they want to address the costly chronic disease burden.
In a move to diversify its business, Tenet Healthcare has expanded into urgent care, launching last month its national brand of 23 urgent care centers called MedPost Urgent Care.
With population health management becoming a central focus for more healthcare providers, a growing number are considering adding a chief population health officer to the executive ranks.
The Congressional Budget Office recently said it could no longer evaluate the fiscal implications of all of the law's provisions, leading to some concerns about the implications of a lack of independent assessment.
Medicare's ACOs have had mixed early outcomes, but some commercial accountable care ventures, including PPO plans, are showing promise.