Provider-Payer Convergence

by Chilmark Team | December 10, 2018

2019 Predictions: M&A, Big Tech, and the Fate of ACOs

The Meaningful Use gravy train finally came to an end in 2018. As the strongest EHR vendors struggle to define new revenue streams, weaker ones faded from view through acquisitions or leveraged buy-out. Meanwhile, funding for 'digital health' start-ups continued to increase, though it likely hit the high water mark

by Chilmark Team | November 29, 2018

Revisiting Our 2018 Predictions

As is our custom here, we like to look back on our predictions for the closing year and see just how well we did. Some years we do amazingly well, others we over-reach and miss on quite a few. For 2018, we got seven of our 13 predictions spot-on, two

by Matt Guldin | November 27, 2018

Is Radiation Oncology Ready for Alternative Payments?

Recent comments by Secretary Alex M. Azar II indicate changes ahead   Key Takeaways Mandatory alternative payment model (APM) is coming for radiation oncologists. HHS has not yet released many details but The American Society for Radiation Oncology’s (ASTRO) radiation oncology-APM (RO-APM) is a likely useful proxy for what this

by Chilmark Team | November 15, 2018

How Convergence Benefits Rising-Risk Patients

By Mark A. Caron, FACHE, CHCIO, Geneia CEO No matter how you look at it, the toll of diabetes and prediabetes is staggering whether you’re the patient, the primary care physician, the employer or the health plan. Nearly 30 million Americans have diabetes. People with diabetes are at increased risk of

by Chilmark Team | November 01, 2018

How to Succeed with a Provider-Sponsored Medicare Advantage Plan

By Matt Cox (Chief Marketing Officer, Lumeris) and Nigel Ohrenstein (Senior Vice President and head of Market, Lumeris) Health system and health plan leaders across the country are asking the same question: how will our organizations survive and thrive in a value-based world? As the shift to lower-cost settings accelerates

by Chilmark Team | October 24, 2018

How Health Systems and Health Plans Are Leveraging Each Other’s Strengths Through Telehealth

By Mike Baird, President, Customer Solutions, American Well   There are over 5,000 hospitals in the United States, each caring for the country’s growing population of more than 325 million people. Aside from integrated health systems, many of these organizations are operating independently from health plans or other health systems. This

by Matt Guldin | August 30, 2018

Humana-Walgreens Partnership: Primary Care Focused on Medicare Advantage

Key Takeaways: Humana and Walgreens jointly announced a partnership for Human to operate senior-focused primary care clinics in Walgreens stores. This comes as a response to a clear industry need for new "front doors to care" and other investments in retail health by competitors to both companies. We predict these

by John Moore | August 14, 2018

Future Winners in Accelerating Shift to Value

Last week, CMS released its proposed rule (beware – in good government fashion it’s a whooping 607 pages) for the Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) program. CMS is taking a big leap forward with this rule on the path to value-based care. The big leap? Moving
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