New Marketplace
Sustainable Financing for Complex Care Management Is Critical to a Value-Driven Health Care System
Article by David Lansky & Jeff Micklos
Care management should be payer-agnostic at its core.
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Payer-Provider Integration
Health insurance companies and a healthcare provider may greatly benefit from systems integration. Healthcare payer and provider organizations have different goals but need to work together to generate efficiencies. How can we bridge the gap between the two parties?
New Marketplace
Integrated Care Lessons from Across the Pond
Talk by Nick Seddon
Just throwing things together doesn’t make for integrated care. If we spent more time looking at what is good about each other’s health care systems rather than what we hate, that would help move forward a seamless care experience for patients.
New Marketplace
Vertical Integration and Bold Experimentation
Talk by Peter Orszag
Four points on improving value in health care via vertical integration and aggressive experimentation.
Leadership
Health Care Partnerships Rise All Ships
Clip by John Z. Ayanian, Joneigh S. Khaldun & Michael J. Englesbe
Examples of a public health and health system partnership, payer and provider partnership, and multi-hospital partnership that led to improved health care outcomes.
New Marketplace
Improving Care by Redesigning Payment
Case Study by Marcia Peterson & Sarah Rolph
A state-run center of excellence uses benefit design to improve outcomes while controlling cost.
Leadership
Personas of Leadership in Value-Based Care
Article by Robert Pottharst
The deliberate nurturing of specific types of leadership personas seems to be a critical factor in the success of value-based care organizations.
New Marketplace
Effective Consolidation: A Model for Reform Through Payer-Provider Integration
Article by William H. Shrank, Diane Holder & Steven D. Shapiro
UPMC’s payer-provider partnership integrates real-time data to support improved clinical decision-making and optimizes clinical and financial performance.
New Marketplace
Reshaping Care Coverage: A Public Good Problem
Clip by Leemore Dafny, David Lansky, Robert Galvin & Lynn Garbee
The companies most capable of leading transformation in health care coverage are the ones that least need to.
New Marketplace
Amazon and CVS: Short-Lived Unicorns in Health Care, or Healers of the “Tapeworm”?
Interview by Robert Galvin & Leemore Dafny
Will Amazon–Berkshire Hathaway–JP Morgan and CVS-Aetna change the health care game? To one health care employer purchaser, these announcements feel a lot like Groundhog Day.
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