The public health pitch for making Medicare available at 50 comes with some strong evidence and business opportunity for population health.
Amid a planned acquisition by Aetna, Humana is still going forward with new models, including an expanded deal with one of several promising primary care ventures.
Primary care incentives for ACOs may not be strong enough to accomplish the goals of improving patient experiences, population health and high costs.
With a progressive CEO and culture and a huge merger in the works, Aetna is promising to help reinvent healthcare. Yet it is still up against the long-term unknowns about what will constitute truly sustainable healthcare.
Even though most people now take some steps to communicate their end-of-life wishes, many may still receive more intensive care than they would have wished.
Fallon Health is departing from Massachusetts’ Medicare-Medicaid managed care program, another sign that the sought-after benefits and savings will be hard to achieve.
If the economics of running a health plan require the big to get bigger, it also seems that new models for services, risk and profits are needed.
With near-universal health insurance and an impetus to make healthcare affordable, health systems starting their own insurance plans believe this time is different.
Jay LaBine, MD, is a surgeon working at the forefront of America’s changing healthcare economy, the provider-sponsored health plan.
The trajectory of cancer care is so costly and problematic that insurers are flocking in droves to the federal government’s multi-payer alignment experiment.
Cigna is seeing benefits from its variety of accountable care in obstetrics and gynecology, and is on track to expand the model.
Unlike many local and state governments with steadily rising healthcare costs and a looming Cadillac tax, Houston is saving a fair amount with an accountable care network and wellness program.
Changing of CEO guard at Blues giant HCSC
Ripped by ACA, insurer disentangles itself from healthcare
Risks, rewards and shaky starts in M&A
Bayou cooperative insurer will cease to be
California rates increased modestly, but vary regionally
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