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

by Brian Murphy | August 13, 2018

Da Vinci Project: FHIR Meets Value-based Payments

While healthcare frets and obsesses about the state of exchange between providers, payers have been relatively slow to embrace modern ideas about data movement. On the federal level, Blue Button 2.0 lets Medicare

by Hannah Ehnle | March 01, 2018

Podcast: The Convergence of Providers and Payers

A critical path forward, fraught with challenges   Chilmark's founder and president John Moore recently took some time to speak with the producer of the Relentless Health Value podcast, Stacey Richter, to discuss current strategies of one of the biggest trends in healthcare right now, provider-payer convergence. The discussion begins by

by John Moore lll | February 21, 2018

18 Chilmark-Recommended Sessions for HIMSS’18

For those of you who are overwhelmed by looking through the HIMSS18 session schedule (and those of you who have been meaning to look but haven't gotten to it yet), here's Chilmark Research's short list of sessions we expect to be worthwhile, as chosen by our analyst team. It is

by Matt Guldin | January 24, 2018

Can Kindred Help Humana Bend the Cost Curve?

In December 2017, national health insurer Humana and two private equity firms, TPG Capital and Welsh, Carson, Anderson & Stowe (WCAS), announced the $4 billion acquisition of Kindred Healthcare, a national provider of post-acute services. This was not terribly surprising as it was rumored back in April that Kindred Healthcare