Topic Healthcare analytics

Articles

The Sanitas journey: A digital business model at its core

In this interview, Otto Bitterli (Chairman of Sanitas Health Insurance) discusses the company’s digital transformation and its commitment to being an innovative long-term partner to its customers.

Multimedia

Hospital networks: Perspective from four years of the individual market exchanges

An analysis of the individual market health plans being offered across the U.S.reveals that the trends toward narrowed hospital networks and managed care continue.

Multimedia

2017 exchange market: Pricing trends

Analysis of exchange premiums indicates that overall prices will continue to increase in 2017. Despite this, some consumers will see their premiums decline given the effect of government subsidies.

Articles

2017 exchange market: Plan type trends

Analysis of exchange plans indicates that a majority of carriers are continuing to shift toward managed offerings, and consumers will see less unmanaged plan designs available to them than in previous years.

Multimedia

2017 exchange market: Carrier participation trends

Analysis of exchange carrier participation nationwide indicates that the overall number of carriers has dropped below 2014 levels. However, a majority of markets will continue to have more than one carrier participating.

Articles

Achieving ROI from EHRs: Actionable insights that can transform care delivery

Traditional arguments for EHR implementation such as efficiency gains and meaningful-use incentives are insufficient to maximize a health system’s returns on its technology investments. However, clinically and operationally oriented sources of value can generate an additional $10,000 to $20,000 per bed in annual margin.

Articles

Exchanges three years in: Market variations and factors affecting performance

While the individual market is still in flux, careful analysis of carriers’ performance reveals several factors are associated with better results.

Articles

2014 individual market post-3R financial performance

2014 performance in the individual market varied among payors – most had negative margins, but ~30% of carriers' margins were positive.

Articles

2016 Individual Exchange Rates

Based on nationwide 2016 individual exchange rates, here are overall and state-by-state insights on carrier participation, price leadership shifts, gross premium changes, and the impact of subsidies on 2016 rates.

Articles

2016 exchange market remains in flux: Plan type trends

Facts on the shift toward HMOs on the public exchanges.

Articles

Health insurance enrollment and revenue shifts 2013-2014: An emerging story

Between 2013 and 2014 absolute enrollment and revenue grew by 17 million lives and $86 billion respectively.

Articles

2016 exchange market remains in flux: Pricing trends

Despite higher increases in lowest-price plan gross premiums this year, a greater share of consumers are seeing less expensive lowest-price silver net premiums.

Articles

2016 exchange market remains in flux: Evolution of carriers and offerings

The mix of carriers and plans is continuing to change, with nearly half of consumers seeing a new entrant, and plan types becoming more managed.

Articles

Hospital networks: Evolution of the configurations on the 2015 exchanges

Updated 2015 network data, including a comparison of networks offered on the 2014 and 2015 exchanges, insights into how networks’ pricing structures are evolving, and insurer and provider participation.

Reports

Medicaid & CHIP enrollment update

Observations based on analysis of Medicaid/CHIP enrollment estimates through December 2014.

Articles

Exchanges year 2: New findings and ongoing trends

This brief provides a full view into the 2015 exchange landscape.

Reports

2015 Individual Exchange product information

State-by-state data and analysis on approved 2015 products offered on federal and state Individual exchanges

Infographic: On the Eve of Open Enrollment 2015

Survey findings shed light on how a variety of factors could affect the decisions consumers make about enrolling: eligibility for subsidies, penalties for not enrolling, satisfaction with 2014 plans, and increases in premium rates.

Articles

2015 OEP: Emerging trends in the individual exchanges

An analysis of the 2015 exchange landscape, with a view to gaining a preliminary understanding of how the 2015 OEP will differ.

Multimedia

Reform Center video series: Exchange network

A close look at the public exchange network in 2014.

Multimedia

Reform Center video series: Public exchange landscape

With the first OEP concluded, this retrospective overview shows how the market landscape has evolved.

Articles

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

Individual market enrollment: Early assessments

Our fourth intelligence brief on exchange dynamics shares observations of the individual market through the mid-point of open enrollment.

Articles

Hospital networks: Configurations on the exchanges and their impact on premiums

Our third intelligence brief on ACA exchange dynamics sets forth five observations based on analysis of new network configurations across 20 urban rating areas.

Articles

Exchanges go live: Early trends in exchange dynamics

Our second brief on exchange dynamics is based on a comprehensive analysis of all exchange offerings across the entire US—more than 21,000 unique qualified health plans filed on the public exchanges in all rating areas.

Articles

Emerging exchange dynamics: Temporary turbulence or sustainable market disruption?

This brief comprises an initial set of analyses regarding the structure, competitive dynamics, and pricing on the exchanges, and their implications.

Reports

The trillion-dollar prize: Using outcomes-based payment to address the US healthcare financing crisis

There is growing consensus that transitioning to outcomes-based payment is fundamental to driving cost-reducing innovation among healthcare providers and achieving a financially sustainable healthcare system.