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Accountable Care

 
December 19, 2014 | Anthony Brino

To move beyond the marketing buzz of "population health" and, in some places, to avoid being usurped by provider-sponsored plans, insurers need to see provider contracting more as a partnership for a community's healthcare and wellness.


December 18, 2014 | Anthony Brino

One Blue insurer will find out just how much employer appetite there is for health plans with limited but transparent networks branded as both accountable and affordable.


December 15, 2014 | Anthony Brino

The nation's largest insurer is starting a new bundled payment pilot in oncology with one of the most prestigious providers in the field, in an experiment they hope will be yield beneficial evidence and grounds for expansion.


December 12, 2014 | Anthony Brino

Once in a while, a key voice in the reform movement turns out to be a skeptic, arguing that the changes being implemented are too prone to producing more of the same.


December 2, 2014 | Anthony Brino

Two health plans are being barred from further enrollment and another is being warned, as state regulators act on promises to ensure access and quality standards for beneficiaries.


December 2, 2014 | Anthony Brino

The long-standing problem of hospital-acquired infections, adverse events and medication errors is improving, new data suggest, although 1 in 25 hospital stays still comes with an infection.


November 25, 2014 | Anthony Brino

The case for collaboration in accountable care networks is getting a boost in the Puget Sound region, where Humana had found a partner for a new Medicare Advantage network.


November 19, 2014 | Anthony Brino

A new payer-led patient information exchange in California is getting ready to hit the ground running.


November 4, 2014 | Ashley Rekem

In the quest for population health, lifestyle interventions for diabetes may pose the biggest rewards and most vexing challenges. Some are making progress, however.


October 27, 2014 | Madelyn Kearns

Facing the fact that just 5 percent of the patient population was responsible for nearly half of its spending, one health organization has tried some fairly radical changes.


October 20, 2014 | Anthony Brino

Trying to wean themselves off fee-for-service reimbursement, some health systems may be taking a non-committal strategy, dipping their toes in the water before deciding if they want to learn to swim. Insurers should be looking for more than that, if they can offer the right expertise.


October 16, 2014 | Anthony Brino

Insurers are trying to use a new model to improve treatment in costly, difficult chronic diseases like Crohn's, and rationalize reimbursement.


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