Observations based on analysis of Medicaid/CHIP enrollment estimates through November 2014.
As the Affordable Care Act’s (ACA’s) second individual market open enrollment period (OEP) came to a close in February, McKinsey’s Center for U.S. Health System Reform conducted our seventh national online survey to discern insights into how the individual market has evolved.
This article suggests guiding principles and proposed methodologies for risk adjusted episode-based payment.
Many health systems are considering launching health plans, assuming that because they can deliver efficient, outstanding care and superior customer service, they will succeed with a health plan. This assumption is not always correct.
By offering its own health plan, a hospital system may be able to gain a variety of advantages -- but the move is not without risks.
Popular topicsConsumer engagement, Cost of care, Healthcare value, Individual insurance, Information & technology, Marketing & sales, Medicaid, Medicare, Operations, Reform
Health systems (and health plans) that are serious about transforming themselves must harness the energy of their physicians. To do so, they must develop a true ability to engage physicians effectively.
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