Health care costs continue to increase faster than the rest of the economy. Recent projections by the CMS Office of the actuary show that US health care is pushing towards a 20% share of overall GDP, an all-time record...
Shared savings arrangements have increased in popularity as healthcare shifts towards value-based care. In its most basic form, the total healthcare costs of members associated (i.e., or those attributed)...
Provider reimbursement models are evolving as the healthcare system attempts to combat rapidly rising healthcare costs. A major development has been the push towards value-based care (VBC). Value-based payment
As we sit here in December 2021 COVID is still active and cases appear to be climbing in certain pockets of the United States. In early 2020, when the pandemic began, few of us ever thought that we would be dealing with...
I cannot help myself. To celebrate the 10th anniversary of the Affordable Care Act (ACA) last year, I wrote about 30 influential voices in the ACA’s first decade. At the end, I surmised the article probably deserved a reprisal...
Over the years much has been said about the issue of increasing costs of healthcare, its causes, and solutions to address it. In terms of solutions, on one side of the spectrum is the constant drum of a government takeover...
It seems natural to assume that the scientific underpinning of medicine implies a formulaic treatment for any given combination of presenting symptoms. However, this assertion ignores the artistic nature of care management...
Today we are nearing the fourth quarter of 2021 and the world has been augmented in major ways since the pandemic began nearly 18 months ago. Not long-ago masks were hardly seen outside of the hospital...
Health care is expensive in the United States. If you have paid attention to the Society of Actuaries Health Section since 2018, you are familiar with Initiative 18/11. The catchy title derives from the fact that health care spending is...
On April 1, 2021, the Global and Professional Direct Contracting (GPDC) Model began its first performance year. Effective through 2026, the CMS GPDC Model introduces risk sharing arrangements with the goal of reducing...
