Plans like Molina and Centene, grounded in long managed Medicaid experience, have of necessity learned to manage risk more effectively than commercial plans.
Companies that the data say are the very best within their niches are often outsiders to a health system that protects low value. Rewarding high performance and turning away from low performance is the one surefire way purchasers can change how US health care works.
Demand for work-site primary care clinics is a response to the failure of medical providers and health plans to cost-effectively manage and improve the health of patients.
High performance healthcare services are available in virtually every costly healthcare clinical and financial niche. Generally, these programs have deconstructed problems that consume large percentages of the healthcare dollar, and then developed solutions that are unconventional but more effective. They win, not by exploiting conventional healthcare’s perverse incentives as the mainstream does, but by exploiting market vacuums.
Posted 2/26/16 on Employee Benefit News. The Congressional committee that recently demanded Martin Shkreli’s appearance must have hoped to spotlight a
Brian Klepper Originally Posted 1/17/16 on The Doctor Weighs In A CNN investigation by Elizabeth Cohen and Katherine Grise asserts that
BRIAN KLEPPER Posted 10/23/15 on The Health Care Blog A new study in JAMA Internal Medicine finds that two-thirds of cancer