Anthem Gets Tough with Hospitals

Anthem Gets Tough with Hospitals2

One of the greatest frustrations our self-funded (and to a lesser extent, fully-insured) clients voice is that – despite the hundreds of thousands or millions of dollars they pay the insurers to assist in managing their health plan spend – too often it appears the insurers are complicit in the rising healthcare spend by not… [Read More]

Future is Now: Healthcare Delivery Systems

Future is Now Healthcare Delivery Systems

Two years ago I was out to lunch with a well-regarded industry colleague and I asked him his thoughts on the next cost mitigation “silver bullet” for employers who had already adopted high deductible plans. His answer was provider-directed initiatives like bundled payments and value-based contracting. That future is now here and innovators in the… [Read More]

Healthcare Realities Hit Harvard University

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You have to be pretty smart to understand healthcare. Ask the faculty at Harvard. They were generally strong advocates for the Affordable Care Act during the initial debate – after all, healthcare should be a right and not a privilege. We are a rich nation and progressive, means-based cost-sharing seems only fair. Wealthier Americans should… [Read More]

Healthcare Change Isn’t Easy

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When I started in business healthcare was easy – deductible, coinsurance…you didn’t really think about cost, you just got care. Doctors belonged to country clubs. Everybody was happy. Then eyebrows began to raise about costs and MONEY CHANGES EVERYTHING. I think it started with the auto crisis when economists assessed the added cost to each… [Read More]