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Distributed sites of care: At the tipping point?

Increasingly, consumers are seeking services at sites of care outside of the traditional health system infrastructure. This shift has important implications for how health systems think about their asset base and scale.

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Where to compete in today’s healthcare market

To select which markets to focus on—both within health insurance and in adjacent businesses—payors must have strong market insights, the fortitude to make tough decisions, and the agility to alter course rapidly.

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Why understanding medical risk is key to US health reform

In our healthcare system, those in the best position to control risks and costs often have inadequate incentive to do so. Refining healthcare financing and reimbursement requires a deep understanding of the nature of medical risk.

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Growing employer interest in innovative ways to control healthcare costs

Employers are showing increasing interest in new payment, delivery, and funding models. To capture the opportunity, payors must be able to target appropriate employers; educate employers, employees, and brokers; and demonstrate savings.

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Enabling healthcare consumerism

Companies that can learn to understand, guide, and engage healthcare consumers, while inspiring their loyalty, have a significant opportunity to change the healthcare landscape.

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Value-based care: Is it sustainable?

Four fundamental questions can help payors and providers improve productivity and better control utilization—the prerequisites for making value-based care sustainable.