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)...
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...
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...
In California, the DMHC and DOI facilitate a transparent and accessible means to look up rates and rating information for plans in the individual and small group market. However, gathering a market-encompassing view of the...
While health insurers and health plans have historically assumed most of the risk associated with managing the healthcare dollar, recent trends towards capitation and bundled payments show providers having an increased appetite...
Much of the media coverage surrounding the COVID-induced economic situation typically pertains to the historic unemployment numbers, number of business closures, and the potential need for additional...
In a time when fear and anxiety seem to grip an entire world, the small population of risk managers experiences a rare moment of mixed emotions. Not happiness or joy - that would be...
“Medicare for All” is a term that can assume many different meanings and its lenient usage tends to generate confusion or misinformation. To provide some clarification, AHP has provided...
Economics students are baptized in the basics of supply and demand the moment they step into their first classroom. The free market involves buyers and sellers who participate in a bilateral...
On November 15, 2019 the Trump Administration, in conjunction with the Centers for Medicare & Medicaid Services, released a final rule which would require the public disclosure of...
