The Price is Not Right: The Unsustainability of the ACA Insurance Marketplaces
As legislators continue to work toward a repeal of the Affordable Care Act, insurers are leaving the marketplaces.
Availability of Dental Insurance Can Reduce Hospital Costs
Average patient hospital costs rose by 20 percent for Medicaid patients after their dental coverage was trimmed to cover only emergency care.
Bundled Payments for Hospitals: Lessons in Collaboration
Donald E. Fry, MD, examines the benefits of bundled payment programs.
Fishing Lessons
Providers may object when value-based savings accrue to health plans. Although those objections have merit, other factors should be considered when formulating strategy.
Turn of the Worm
Employers are proactively implementing strategies to control increasing healthcare costs.
APCs: An Important Primary Care Resource for Value-Based Care
Health systems should look to advanced practice clinicians, including nurse practitioners and physician assistants, as qualified providers who can fill the gaps in primary care resulting from a declining supply of primary care physicians.
Finding Success with Provider-Sponsored Health Plans During Uncertain Times
Community Health Choice, a provider-sponsored health plan started by Harris Health System, has grown its marketplace membership from 300 enrollees to 150,000 over four enrollment periods. Despite uncertainty about the future of federal healthcare laws and the marketplaces, the health plan says that it may still experience growth in 2018.
Hospital CEOs Name Top Financial Challenges
Hospital CEOs top three financial concerns were Medicaid payment, staff and supply costs, and operating costs.
Henry Ford Health System Builds a Population Health Management Platform
The health system’s plan for value-based care involves centralizing core population health management functions and integrating data from multiple sources.
Primary Care Provider Taps Grants To Fight Childhood Obesity
Through partnerships with local restaurants, community partners, schools and grocery stores, AltaMed Health Services estimates it has reached nearly 200,000 community members with healthier food options that stem diabetes and childhood obesity rates.