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Competition in Health Care

The health care industry is changing rapidly, and not just the market for medical insurance. How does competition among providers affect the health care market as organizations vie for the best quality and the lowest health care costs?

New Marketplace
New Risk, New Business Models

What U.S. Hospitals Can Still Learn from India’s Private Heart Hospitals

Cost-cutting lessons are clear, so what stands in our way?

New Marketplace
New Risk, New Business Models

Good Riddance to Big Insurance Mergers

If there is any silver lining, it’s that other insurers might learn from blocked mergers and devote more energy to growing by offering superior value, rather than by swallowing rivals.

Panel Clip Still: Why Health Care and Health Care Services Aren't Like Staples or Starbucks

New Marketplace
New Risk, New Business Models

Why Health Care Isn’t Staples or Starbucks

Health care is local, for better or for worse.

New Marketplace
New Risk, New Business Models

Massachusetts Hospitals Seek to Get Larger to Shrink Costs

Beth Israel Deaconess Medical Center, Lahey Health, and New England Baptist Hospital propose to merge to gain market heft. What will be the impact on costs in one of the nation’s most expensive health care markets?

New Marketplace
New Risk, New Business Models

Success and Failure in the Insurance Exchanges

Efforts to reform or replace the ACA should proceed with the knowledge that highly publicized market exits are a poor and probably inaccurate signal of a failing market.

New Marketplace
New Risk, New Business Models

Discord Between Ballad Health and the FTC

How a proposed merger of two large rural health systems has created opposition from federal regulators and economists, but supporters among local business groups.

New Marketplace
New Risk, New Business Models

Moving Past the EHR Interoperability Blame Game

Why can't EHRs talk to one another? We never created the right incentives, but we pretend that we did.

New Marketplace
New Risk, New Business Models

Improve Quality, Control Spending, Maintain Access — Can the Merit-Based Incentive Payment System Deliver?

Under MACRA, the MIPS payment plan grants much discretion to clinicians. The result may be unintended practice responses that require adjustments from CMS.

New Marketplace

Improving Physician Performance: What Works?

Do financial incentives and employment of physicians drive value — or create unintended consequences?

New Marketplace
New Risk, New Business Models

Out-of-Network Emergency-Physician Bills — An Unwelcome Surprise

A major source of financial hardship for patients comes from surprise bills from physicians who are not in their insurance network. Surprise bills from emergency physicians are also a source of concern.

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