Search Sort by Newest to OldestOldest to NewestRelevanceA-ZZ-A 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 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 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 The Next Act for Provider Sponsored Health Plans Several health systems launched or ramped up their PSHPs after the Affordable Care Act was passed in 2010, taking advantage of growth in key market segments and providing an additional revenue source while supporting their community-centered missions. Article Preparing for Risk-Based Contracting and Value-Based Healthcare: Challenges and Opportunities In a roundtable discussion, Kaufman Hall Managing Directors Matthew Bates and Nora Kelly and Senior Vice President Max Timm discuss the rise of risk-based contracting in value-based healthcare arrangements, what providers and insurers need to watch out for, and what success in risk-based contracting will look like. Article Operationalizing Value-Based Primary Care: Lessons from the Field For more than a decade, hospitals, payers, and other healthcare stakeholders have experimented with moving healthcare payment from fee-for-service, volume-based contracts to arrangements that reward providers for the value of the care they provide. Article Payer-Provider Economics: Preparing for the New Frontier Payers and providers are increasingly creating strategic partnerships, with the intent of keeping pace in a rapidly transforming healthcare payment system that rewards value over volume... Article Dynamic Financial Planning Provides a Hedge Against Future Disruption The impact of the COVID-19 pandemic has introduced new and potentially long-lasting volatility into traditional financial planning processes at hospitals and health systems. Financial... Article Better Together: The Business Case for Payer-Provider Strategies and Partnerships Health systems and health plans aren't used to thinking of one another as potential allies. But as the competition heats up, many realize it may be better together. Read more! Article From Adversary to Partner: Insights for Payers and Providers Depending on the market, organizations face increased competition from large, integrated companies—or looming pressure from new tech-savvy entrants like Amazon and Google that are unencumbered by the operating challenges and fixed-cost infrastructures of legacy healthcare providers. Article
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
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
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
The Next Act for Provider Sponsored Health Plans Several health systems launched or ramped up their PSHPs after the Affordable Care Act was passed in 2010, taking advantage of growth in key market segments and providing an additional revenue source while supporting their community-centered missions. Article
Preparing for Risk-Based Contracting and Value-Based Healthcare: Challenges and Opportunities In a roundtable discussion, Kaufman Hall Managing Directors Matthew Bates and Nora Kelly and Senior Vice President Max Timm discuss the rise of risk-based contracting in value-based healthcare arrangements, what providers and insurers need to watch out for, and what success in risk-based contracting will look like. Article
Operationalizing Value-Based Primary Care: Lessons from the Field For more than a decade, hospitals, payers, and other healthcare stakeholders have experimented with moving healthcare payment from fee-for-service, volume-based contracts to arrangements that reward providers for the value of the care they provide. Article
Payer-Provider Economics: Preparing for the New Frontier Payers and providers are increasingly creating strategic partnerships, with the intent of keeping pace in a rapidly transforming healthcare payment system that rewards value over volume... Article
Dynamic Financial Planning Provides a Hedge Against Future Disruption The impact of the COVID-19 pandemic has introduced new and potentially long-lasting volatility into traditional financial planning processes at hospitals and health systems. Financial... Article
Better Together: The Business Case for Payer-Provider Strategies and Partnerships Health systems and health plans aren't used to thinking of one another as potential allies. But as the competition heats up, many realize it may be better together. Read more! Article
From Adversary to Partner: Insights for Payers and Providers Depending on the market, organizations face increased competition from large, integrated companies—or looming pressure from new tech-savvy entrants like Amazon and Google that are unencumbered by the operating challenges and fixed-cost infrastructures of legacy healthcare providers. Article