Category: Payer-Provider Convergence

Prior Authorization: Productivity Sink In Dire Need of Convergence

Prior Authorization is often viewed as the poster child for throwing the Quadruple Aim off balance with its pursuit of cost reduction at the expense of provider experience, but my latest research for Chilmark Research shows that new PA models and maturing

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Belly Up: PSHPs Struggling to Find a Fit

This post originally appeared July 13 on the Convergence blog. Providers and payers have pursued several parallel convergence models as they experiment to secure a foothold in the new world of value-based care (VBC).  Some are proving to be more successful

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Tackling Prior Authorization: Webinar and Report Release in One Week

We are pleased to announce our next webinar and report release will be coinciding with each other in just one week, on July 25, 2017. We hope you will join analyst Jennifer Rogers as she shares highlights from this latest research on

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Condition Management: A Healthcare Disruption That Just Might Stick

Thomas Goetz, founder of digital health startup Iodine, recently took to Inc.com to suggest that healthcare disruption may never happen. Far too many entrepreneurs have learned the hard way that “healthcare is different,” burning through their venture capital without achieving

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Fall Convergence Conference Officially Launches with Speakers, Sessions

Chilmark Research, with support from Founding Sponsors CareEvolution and Cerner, is pleased to announce the official launch of the inaugural Convergence Conference to be held in Boston, MA on October 4-6, 2017. Today’s environment of government initiatives, outcomes-based payment models,

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Business as Usual is Comfy

Merely talking about the strategic importance of a particular initiative, and actually investing organizational capital in it, are two distinctly different things. Industry polls consistently indicate that we are inching toward 40 percent of providers participating in some form of

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Managing in a Maelstrom: Fishing for Focus and Value

Healthcare market attributes, context, policies, administration, payment and scope have been hotly debated since the inception of insurance programs nearly a century ago. Despite constant change, the market organization and investment targets were generally guided by reasonably clear directions and

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PHM as a Service

Reminder: We will be hosting a webinar tomorrow on Care Management Market Trends related to our upcoming report on the same topic. Click here for more information and to register. The growing trend for Population Health Management (PHM) HIT vendors

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The Need for “Precision” Definitions

Healthcare is a study in extremes.  On the precise end of the continuum, we have the surgical precision of the neurosurgeon’s scalpel and the micro-precision of genomic studies.  On the not-even-close-to-precise opposite end of the continuum, we have the very

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Vendors Enabling the ACO: New Class of Vendors Matures

Successfully enabling an Accountable Care Organization is extremely challenging: There isn’t one standard ACO model; there isn’t one single ACO national policy; there isn’t one specific map to follow to build an ACO nor measure its success. There are few

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HIMSS17: Little Less Hype, More Focus on Value

Our industry was in state of unrest going into HIMSS17. Some would call it panic. This year’s HIMSS was as much a REALLY large group therapy session as it was a trade show. Seemed as if everyone was reassuring each

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Top 7 Things to Look for at HIMSS17

The final countdown has begun. In a few short days I and the rest of the Chilmark Research team will make our annual pilgrimage to the big health IT confab, HIMSS17, to rub shoulders with some 45,000 of our closest

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Reducing the Risk of Risk-Based Arrangements: Vendors Enabling the ACO

Join us on February 14th at 1pm ET for our next free webinar when Jennifer Rogers will share highlights from her upcoming report, “Reducing the Risk of Risk-Based Arrangements: Vendors Enabling the ACO.” We’ll cover: Viability, trending, and projections for the ACO

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Looking to 2017: Our Baker’s Dozen Forecast

2016 is heading for the doors, 2017 readily awaits. But what will this New Year bring? One thing for sure, a new president and administration that appears intent on rewriting the rules, be they foreign policy, environmental or healthcare. But

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Value Based Health: No Success without Value-Based Technology Strategies

A September 16 2016 Bloomberg report once again provides the bad news for the US healthcare system, ranking it among the least efficient healthcare systems -50 of 55 countries surveyed in 2014. Despite the plethora of new regulations, payment models, technology mandates

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Opportunity, Change, Ever Forward

PTO is a glorious thing, to have time to breathe, to step back, to actually think and reflect. It was in that “PTO Opportunity Moment” that I made a decision to make a major career change. The lion’s share of

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