Insights on Healthcare Systems & Services

Article

How should provider-led health plans evolve?

– Although they are often pursued as an approach for vertical integration, their value is not always clearly demonstrated.
Article

The exciting news in Medicare is happening at the kitchen table—not on the debate stage
– With so much attention focused on the debate over the merits of Medicare for All, it is easy to lose sight of changes in Medicare... Advantage.
Podcast

Getting the right care to the right people at the right cost: An interview with Ron Walls
– At face value, the problem is simple: Getting the right care to the right people at the right cost—but anyone who has touched... or worked in the industry knows that it’s a lot more complicated. As part of our series looking at productivity, Dr. Ron Walls, COO at Brigham Health discusses the opportunities to improve healthcare productivity—and the steps that leaders could be taking today to improve healthcare delivery.
Article

Insights into better integrated eligibility systems
– Implementing integrated eligibility systems can be fraught with challenges, making it difficult for states to claim success. However,... there are five observations they can use to ensure triumphant future execution.
Podcast

The role of academic-based health systems: An interview with Catherine Jacobson and Thomas Zenty
– Catherine Jacobson, president and CEO of Froedtert Health, and Thomas Zenty, CEO of University Hospitals, explain how their academic... medical centers and academic-based health systems are finding their niche in the healthcare ecosystem. As these centers develop, how do changing consumer expectations and social determinants of health change their vision for the future?

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Center for US Health System Reform
Our in-house source on health policies, the Center undertakes original research and develops tools to help navigate an ever-changing policy and healthcare landscape.
 

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MORE INSIGHTS

Interview

How technology can improve the patient experience: A view from Tencent’s Alex Ng
– Alexander Ng, vice president of Tencent Healthcare, shares his vision for hospital care in 2030.
Podcast

Fit for the future: The common challenges facing healthcare systems—and how to meet them
– Across the developed world, health systems must adapt to aging populations, changing patient needs, and advances in technology... that could both reduce costs and revolutionize clinical care.
Interview

Why social determinants matter for children’s health: An interview with Michael Fisher
– The president and CEO of Cincinnati Children’s Hospital explains how social determinants of health (e.g., education, housing,... social support) affect children’s health outcomes, and how organizations that invest and intervene early can generate both near- and long-term value.
Article

Best-in-class digital document processing: A payer perspective
– Despite the promise of digitization, paper forms will remain for many years. Payers that find a better way to handle both paper-based... and digital information will have a competitive advantage.
Article

The evolution of healthcare-provider profit pools
– Why nonhospital-provider segments are primed for growth—and why that matters.
Article

Transformative healthcare growth through diversification
– Five lessons to consider when moving beyond your core business
Article

Supercharging the ROI of your care management programs
– Using advanced analytics and digital capabilities to improve the design and implementation of care management programs can promote... better patient outcomes and an improved return on investment (ROI).
Article

Digital health ecosystems: A payer perspective
– Creating or participating in a digital health ecosystem can allow payers to take advantage of their central position in the healthcare... landscape and expand in new directions.
Article

To succeed in a healthcare transformation, focus on organizational health
– In transformations, healthcare providers and payers must attend to their organizational health, not just their short-term performance.
Article

Next-generation member engagement during the care journey
– Next-generation member engagement tools empower members to make higher-value care decisions and enable health insurers to improve... care quality, increase member satisfaction, and reduce medical spending.
Article

Ensuring financial sustainability while serving a growing Medicaid population
– High-performing health systems have succeeded in “breaking even” in Medicare, but many continue to struggle to achieve... similar results in Medicaid. A concerted effort to improve revenue can strengthen a system’s financial sustainability.
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