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Health News From KHN- Medicaid Expansion Popular In Southern States, Despite Govs' Opposition May 22, 2013
- Market Pressures May Keep Premiums Low As Health Law Kicks In May 22, 2013
- Political Cartoon: 'Set Paperwork To Stun?' May 22, 2013
- Outreach Effort Moves Forward Despite Sebelius Controversy May 22, 2013
- Health Issues Play A Part In House Immigration Talks, Budget Cuts May 22, 2013
- As Hill Panels Focus On Medicare, Marketplace Examines How Part D Changed The Pharmaceutical Industry May 22, 2013
- Federal Appeals Court Strikes Down Arizona Ban On Abortions After 18 Weeks Of Pregnancy May 22, 2013
- Viewpoints: Mass. Experience May Not Be True Test For National Health Law; 'Dishonest' Campaign By Medical Device Makers May 22, 2013
- State Roudup: Loophole Could Mean Calif. Docs Eat Some Costs May 22, 2013
- More Than Half Of U.S. Docs Now Using EHRs May 22, 2013
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Tag Archives: Health Plans
Them, Not Us
Brian Klepper Posted 1/7/13 on Medscape Connect’s Care and Cost Blog “How many businesses do you know that want to cut their revenue in half? That’s why the healthcare system won’t change the healthcare system.” Rick Scott, Governor of Florida Former … Continue reading
A Thousand Dollars Says Dr. Ezekiel Emanuel Is Wrong About ACO’s Long Term Prospects
Jaan Sidorov Posted 2/1/12 on the Disease Management Care Blog Approximately 15 years ago, the Disease Management Care Blog was a speaker at a conference with an audience mostly made up of managed care leaders. It boldly argued the nation’s … Continue reading
Working for Health Care: What $15,000 Will Buy An American Worker
Jane Sarasohn-Kahn What could $15,000 get you? – The value of the proposed Home Buyers Tax Incentive initiative being discussed in Congress – A Kia Rio automobile – The cost of an NFL fine. $15,404 was the average annual cost of health insurance for a family … Continue reading
Health Plans Enter A New World of Retail
Jane Sarasohn-Kahn First posted 8/26/11 on Health Populi Health plans are more aggressively managing medical costs, leaning out administrative inefficiencies, and looking for new customers. Plans are undertaking these strategies as they face uncertainties over the next couple of years leading … Continue reading
Posted in Analytics, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform, Tools
Tagged Cost, Health Plans, Jane Sarasohn-Kahn
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The 100 Year Shift? Introduction and Overview
Vince Kuraitis and Jaan Sidorov First posted 7/5/11 on the eCareManagement Blog Gazing at the horizon, we foresee the potential for a tectonic realignment among physicians, hospitals and payers. Here’s a quick visual representation: This essay is the first of a … Continue reading
Posted in Analytics, Innovation, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform
Tagged Doctors, Health Plans, Hospitals, Jaan Sidorov, Medical Management, Physicians, Vince Kuraitis
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Average Annual Health Costs for a US Family of Four Approach $20,000, With Employees Bearing 40%
Jane Sarasohn-Kahn First published 5/11/11 on Health Populi Health care costs have doubled in less than nine years for the typical American family of four covered by a preferred provider health plan (PPO). In 2011, that health cost is nearly $20,000; … Continue reading
Posted in Analytics, Benefits, Market Dynamics
Tagged Affordable Care Act, Employers, Health Care Cost, Health Care Cost Crisis, HEALTH CONSUMERS, health economics, HEALTH ENGAGEMENT, Health Plans, HEALTH POLITICS, HEALTH QUALITY, Health Reform, HOSPITAL FINANCE, Insurance, Jane Sarasohn-Kahn, MEDICAL HOME, Medicare, PATIENT PROTECTION AND AFFORDABLE CARE ACT, PHARMACY, Physicians, PPACA, UNINSURE
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Can Health Plans Explain Why They Aren’t Re-Empowering Primary Care?
Brian Klepper and David C. Kibbe First published 10/30/2008 on The Health Care Blog Brian’s Note: Recently I received a note from a New Jersey primary care physician who argued that, even more than Medicare, the health plans are killing primary care through extraordinarily … Continue reading
Medical Loss Ratios – Again
Roger Collier First published 4/4/11 on Health Reform Update A new study, reported in the American Journal of Managed Care, seems likely to add more heat to the continuing medical loss ratio controversy. The Accountable Care Act effectively mandates that … Continue reading
Posted in Analytics, Market Dynamics, Policy/Law/Regulation, Reform
Tagged Health Plans, Insurance, Medical Loss Ratios, MLRs, Roger Collier
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Tire Kickers Need Not Apply – 8 First Impressions of the Medicare ACO Rule
Vince Kuraitis First published 4/1/11 on e-Care Management On March 31, CMS released the long-awaited “Medicare Shared Savings Program: Accountable Care Organizations” document (ACO Rule). Read the details here (strong suggestion: unless you’re working on your PhD in ACOs, start with … Continue reading
The “Post Health Plan” Health Plan
Jane Sarasohn-Kahn First published 3/8/11 on Health Populi “If nothing else, the health reform bill has signaled the beginning of the end of the health plan as we know and love it,” David Brailer, once health IT czar under President GW … Continue reading
Posted in Benefits, Health IT, Innovation, Medical Management
Tagged Health Plans, Humana, Jane Sarasohn-Kahn
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Power – Er, No, Risk – To The People
Paul Levy First published 3/2/11 on [Not] Running A Hospital What will be the biggest trend in the health insurance business over the coming years? A tendency to shift risk from the insurance companies to the public. How fitting for … Continue reading
Posted in Benefits, Consumerism, Policy/Law/Regulation, Quality, Reform
Tagged Health Plans, Paul Levy, Risk
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Accountable Care Organizations: The Emperor Has No Clothes, Or, Jeff Goldsmith’s Plan B
DAVID HARLOW Originally published 1/06/11 on HealthBlawg The current all-ACO issue of Health Affairs includes a piece by Jeff Goldsmith entitled: Accountable Care Organizations: The Case For Flexible Partnerships Between Health Plans And Providers. It is a proposal for how private sector … Continue reading
International Federation of Health Plans 2010 Comparative Price Report: Medical and Hospital Fees by Country
BRIAN KLEPPER This sobering report arrived on my desk today. The International Federation of Health Plans is comprised of “the leading global network of the industry, with one hundred member companies in 30 countries.” Each year they prepare a report that compares pricing … Continue reading
Posted in Analytics, General, Imaging, Innovation, Market Dynamics, Physicians
Tagged Comparative Cost, Cost, Health Plans, International Health Care
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