Topic Cost of care

Articles

The market evolution of provider-led health plans

Offering a health plan can give health systems an opportunity for growth, but it is not without financial risk. To benefit from this move, health systems should use a different lens to understand both consumers and risk, know where the best growth opportunities are, rethink their payor-provider interactions, and take advantage of integrated claims and clinical data.

Articles

Hospital networks: Perspective from three years of exchanges

We analyzed every individual exchange hospital network across the U.S., and here’s what we learned.

Articles

Designing and implementing an integrated oncology care management program

The newer approaches to managing oncology care have been somewhat effective in controlling near-term costs, but are often cumbersome and create friction between stakeholders. A more integrated program, however, can deliver long-term benefits to both payors and providers.

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Healthcare’s digital future

Insights from our international survey can help healthcare organizations plan their next moves in the journey toward full digitization.

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Hospital networks: Updated national view of configurations on the exchanges

This updated view of the network configurations being offered on public exchanges across the country suggests that consumer choice of health plan design is expanding.

Articles

Integrated care 2012

Articles in this publication are designed to help payors, providers, and health systems overcome the challenges ahead and leverage integrated care effectively to deliver better patient care at a lower cost.

Reports

Accounting for the cost of U.S. health care: Pre-reform trends and the impact of the recession (2011)

This report analyzes US healthcare spending trends overall and by category of care, and compares US healthcare expenditures with other developed countries.

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Using care pathways to improve health systems

Care pathways enable health systems (and other healthcare organizations) to make evidence-based decisions about where to focus improvement efforts.

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The emerging market in healthcare innovation

Innovators—some from developing nations—have found ways to deliver care effectively at significantly lower cost while increasing access and quality.

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How sourcing excellence can lower hospital costs

Better procurement practices can help hospitals achieve rapid supply cost reductions of 20 percent or more and keep future cost escalations under control.

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Why understanding medical risk is key to US health reform

The United States has a great opportunity to restrain the cost of its healthcare system, improve medical outcomes, and ease the financial and psychological burden on US consumers.

Reports

Accounting for the cost of US healthcare: A new look at why Americans spend more (2008)

At the time of publication, the United States spent $650 billion more on healthcare than expected, even when adjusting for the economy’s relative wealth. This report examines the underlying trends and key drivers of these higher costs.

Articles

Three imperatives for improving US healthcare

Making healthcare more affordable is the key to making the US system sustainable. Bringing the three largest sources of underlying costs and their growth under control is necessary.

Articles

Why Americans pay more for healthcare

The United States spends more on healthcare than comparable countries do and more than its wealth would suggest. Here’s how—and why.