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Financial Risk Management in Health Care

Assuming business risk is part of the new healthcare marketplace. Healthcare risk management requires new approaches and insights and forward-looking thinking in rapidly changing circumstances. What is your risk management plan?

Fiona Scott Morton head shot

New Marketplace

We Can’t Spend All Our Money on Health Care

We have to think about how much we want to spend on health according to how much it’s worth to us at the margin.

Primary Care ACO Models - Way of the Future? Panel Clip Still

New Marketplace

Primary Care ACO Models: Way of the Future?

Evidence shows that primary care–led, risk-bearing, ACO-like practices and independent physician group models generate more savings.

Is There Room for Small Independent Practices Panel Clip Still

New Marketplace

Room for Small, Independent Practices?

Is there room for small, independent practices in a reengineered health care payment system, or are too many obstacles in the way?

Lack of Incentive Is Top Barrier to Implementing Value-Based Payment

New Marketplace

Survey Snapshot: Payer-Provider Alignment Is Difficult Even for Integrated Organizations

NEJM Catalyst Insights Council members say stronger incentives and better use of analytics could improve alignment.

Do Drug Market Exclusivity Periods Help or Harm?

New Marketplace

Drug Market Exclusivity Periods: Helpful/Harmful?

What impact do market exclusivity periods have on the cost of drugs and on incentives for innovation?

How Do You Define a Drug’s Value and Is Value-Based Contracting Reasonable - Panel Clip Still (1)

New Marketplace

How Do You Define a Drug’s Value?

Is it always a multiple of years of life saved? And is value-based contracting a reasonable approach to reining in prices?

Mostashari01_pullquote - Medicare Advantage Holds the Key to Reforming the ACO Program

New Marketplace

Medicare Advantage Holds the Key to Reforming the ACO Program

Value-based care continues to be the emphasis of federal policymakers, as well as many providers. Aligning Medicare Advantage with ACOs would boost both programs.

Comparison of Select Characteristics of the Sample and Shared Savings Program - MMSP ACO - Physician-Led ACOs

New Marketplace

Do Independent Physician-Led ACOs Have a Future?

While some of these smaller organizations are succeeding, they do face numerous challenges, and there is a need for both regulatory change as well as greater sharing of peer-based resources and best practices.

Volatility Among Top Health Care Spenders

New Marketplace

Consistently High Turnover in the Group of Top Health Care Spenders

Despite the myth of frequent fliers in high-cost health care, most of the top 5% of spenders were not in the top 5% the year before.

Changes in household spending 1984-2014 health care spending

New Marketplace

My Favorite Slide: Understanding the Growth of Health Care Spending

How have health care costs impacted the everyday life of Americans over the course of a generation?

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