Search Sort by Newest to OldestOldest to NewestRelevanceA-ZZ-A Pagination Current page 1 Page 2 Next page › Last page Last Gist Weekly: May 31, 2024 Ozempic trial shows the drug slows kidney disease progression, a blood-based colorectal cancer test is endorsed for FDA approval, and nursing home trade groups sue over the new staffing mandate. Blog Medicare Physician Payment Not Keeping Up Following the US Senate Finance Committee’s recent white paper on Medicare physician payment reform, the graphic shows how Medicare payments to physicians have not kept pace with inflation. Infographic Preparing for Medicare Advantage’s Make-or-Break Moment In recent years, the Medicare Advantage (MA) program enjoyed both rapid membership growth and positive attention from healthcare organizations and advocates. As of the beginning of 2024, 33.4 million Americans were enrolled in MA, up 7% from 2023. Article ICHRA: The Great Bifurcation of the Employer’s Role in Health Insurance U.S. employers have played a dual role in the health insurance of their employees – both paying for their health insurance coverage and choosing their health insurance options. These two roles have been tied at the hip, but now, ICHRA (individual coverage Health Reimbursement Arrangement) products offer an opportunity to bifurcate that role. Blog Payer Trends Health Systems Should Watch Closely in 2024 Health system leaders focused on the day-to-day needs of their organization can sometimes lose sight of key developments in other sectors of healthcare. But in an interconnected healthcare ecosystem, understanding the trendlines their payer counterparts are facing is an essential task. Article Health Insurance Exchanges The Health Insurance Exchange (HIX) or Marketplace segment can be considered the largest growth market in the payer sector after Medicare Advantage (MA). From a relative low of 11.4 million members in 2020, the HIX market grew to 16.4 million members in 2023. Blog Fall 2023 Kaufman Hall Report: Performance Improvement, Consumerism, and Payer-Provider Strategies The latest Kaufman Hall Report includes an inside look at strategies for successful payer-provider partnerships in a rapidly changing macroeconomic climate. Research Report The Employer Strikes Back: The Hollowing of the Commercial Health Insurance Market and Its Impact on Payers and Providers Today, the commercial group health insurance market is hollowing out, primarily driven by affordability pressures that have been building for decades. Blog Thriving Post-Reset: Payer-Provider Partnerships After the Pandemic In the pre-pandemic era, payer-provider partnerships were often focused on creating value by managing costs of care and delivering high-quality care. In today’s more challenging macro-economic environment, these conversations are becoming more direct and practical, with both payers and providers asking hard questions. Article Emerging Risks to the Medicare Advantage Market Medicare Advantage has been a tremendous growth story in recent years. Today, however, new risks are emerging from both providers and regulators that could stall and perhaps even reverse the growth strides health plans have made in the MA market. Blog Value-Based Care: Why Now? Value-based care has been a “hot” topic for years now. Every conference, every industry meeting, and every publication has talked about the importance of moving “from volume to value.”... Article Healthcare’s Post-Growth Reset echnology and retail-focused companies from Amazon to Oscar Health to CVS/Aetna, just to name a few, have taken ambitious steps into healthcare with offerings for everything from primary care to ambulatory clinics to new, consumer-focused insurance plans. Article Pagination Current page 1 Page 2 Next page › Last page Last
Gist Weekly: May 31, 2024 Ozempic trial shows the drug slows kidney disease progression, a blood-based colorectal cancer test is endorsed for FDA approval, and nursing home trade groups sue over the new staffing mandate. Blog
Medicare Physician Payment Not Keeping Up Following the US Senate Finance Committee’s recent white paper on Medicare physician payment reform, the graphic shows how Medicare payments to physicians have not kept pace with inflation. Infographic
Preparing for Medicare Advantage’s Make-or-Break Moment In recent years, the Medicare Advantage (MA) program enjoyed both rapid membership growth and positive attention from healthcare organizations and advocates. As of the beginning of 2024, 33.4 million Americans were enrolled in MA, up 7% from 2023. Article
ICHRA: The Great Bifurcation of the Employer’s Role in Health Insurance U.S. employers have played a dual role in the health insurance of their employees – both paying for their health insurance coverage and choosing their health insurance options. These two roles have been tied at the hip, but now, ICHRA (individual coverage Health Reimbursement Arrangement) products offer an opportunity to bifurcate that role. Blog
Payer Trends Health Systems Should Watch Closely in 2024 Health system leaders focused on the day-to-day needs of their organization can sometimes lose sight of key developments in other sectors of healthcare. But in an interconnected healthcare ecosystem, understanding the trendlines their payer counterparts are facing is an essential task. Article
Health Insurance Exchanges The Health Insurance Exchange (HIX) or Marketplace segment can be considered the largest growth market in the payer sector after Medicare Advantage (MA). From a relative low of 11.4 million members in 2020, the HIX market grew to 16.4 million members in 2023. Blog
Fall 2023 Kaufman Hall Report: Performance Improvement, Consumerism, and Payer-Provider Strategies The latest Kaufman Hall Report includes an inside look at strategies for successful payer-provider partnerships in a rapidly changing macroeconomic climate. Research Report
The Employer Strikes Back: The Hollowing of the Commercial Health Insurance Market and Its Impact on Payers and Providers Today, the commercial group health insurance market is hollowing out, primarily driven by affordability pressures that have been building for decades. Blog
Thriving Post-Reset: Payer-Provider Partnerships After the Pandemic In the pre-pandemic era, payer-provider partnerships were often focused on creating value by managing costs of care and delivering high-quality care. In today’s more challenging macro-economic environment, these conversations are becoming more direct and practical, with both payers and providers asking hard questions. Article
Emerging Risks to the Medicare Advantage Market Medicare Advantage has been a tremendous growth story in recent years. Today, however, new risks are emerging from both providers and regulators that could stall and perhaps even reverse the growth strides health plans have made in the MA market. Blog
Value-Based Care: Why Now? Value-based care has been a “hot” topic for years now. Every conference, every industry meeting, and every publication has talked about the importance of moving “from volume to value.”... Article
Healthcare’s Post-Growth Reset echnology and retail-focused companies from Amazon to Oscar Health to CVS/Aetna, just to name a few, have taken ambitious steps into healthcare with offerings for everything from primary care to ambulatory clinics to new, consumer-focused insurance plans. Article