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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

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.

Care Redesign 2016

The MACRA Final Rule: Five Crucial Questions Asked and Answered

MACRA could be bigger than Obamacare for physicians, yet many “barely know anything about it.”

New Marketplace
New Risk, New Business Models

New Scrutiny for Hospital Mergers

As the consolidation wave rolls on, a new study says “cross-market mergers” — where the combining parties operate in different geographies or service lines — may be anticompetitive.

Leemore Dafny Profit Cycle Talk Still: Rules of Business = Rules of Health Care

New Marketplace
New Risk, New Business Models

Rules of Business = Rules of Health Care

The same rules of business apply for health care when it comes to new market opportunity.

New Marketplace
New Risk, New Business Models

Undermining Value-Based Purchasing — Lessons from the Pharmaceutical Industry

Although it’s not yet clear how providers will respond to value-based payment models, an examination of pharmaceutical industry practices can provide insights into problems that may arise — and practices to avoid.

Fernandopulle, Dafny & Kosowsky Panel Clip Still: New Health Care Entrants: Friends or Foes?

New Marketplace
New Risk, New Business Models

New Entrants: Friends or Foes?

New entrants to health care typically don’t see themselves as competitors to incumbents — but the incumbents do.

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