Is a Tax Credit System the Cure for U.S. Healthcare?
The U.S. healthcare system, marked by extraordinary technological capability and deeply rooted inequities, has reached a critical inflection point.
Is Self-Funding the Right Move?
How Employers Should Evaluate the Shift from Fully Insured Health Plans. Self-funding is an alternative approach where employers directly manage and fund healthcare claims, allowing greater transparency, flexibility, and control over healthcare costs...
Understanding Provider Financial Losses in Value-Based Contracts
The shift from fee-for-service (FFS) healthcare models to value-based care (VBC) has been a monumental transformation in the healthcare industry. However, as this transition unfolds, it has added significant complexity to the healthcare system...
Paying the Piper: How 2020 Could Make 2023 Even Tougher for Value-Based Care Providers
It’s widely predicted that 2023 will pose broad economic challenges. Reasons abound for a potential recession, but in many ways, it’s time to pay the piper for actions taken during COVID. That’s not to suggest no fiscal...
Utilization Profiling for Care Management (and Profitability!)
Although there are many variables influencing healthcare costs, the most important are unit cost and utilization. Unit cost is subject to many constraints in relation to both healthcare and the broader...
A Provider’s Primer for Shared Savings Arrangements
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)...
Value-Based Care’s Impact on Healthcare Mergers & Acquisitions
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
Economics and Healthcare
When making important business decisions it is critical to evaluate them in economic terms, oftentimes boiled down to supply and demand. According to www.investopia.com[1], demand...
The Cost of Consolidation
Consolidation is aggressively moving through much of the US economy. Everything from coffee shops to airlines are consolidating and the effect on the consumer is varied...