Policy

by John Moore | July 07, 2020

COVID-19: A Forcing Function for Value Based Care?

COVID-19 is alive and well in the U.S. In the last six days alone, COVID cases have increased by over 386,000. We never got over the first wave and here we go again with a dramatic rise in new cases in the majority of states across the country. COVID-19 continues

by John Moore | September 29, 2017

Convergence in Healthcare: What is it? And Why Now?

Convergence is a thesis that posits the successful path to risk-adjusted care requires realignment in provider-payer relations – that neither provider nor payer will truly be successful without the core competencies of the other. Optimizing risk-adjusted care will require providers and payers to develop far deeper forms of collaboration to

by John Moore | September 15, 2017

Convergence and the Three Rules for Data Governance

Across the industry novel provider-payer collaborations have arisen – something we refer to as convergence. The macro-factor driving this push to convergence is simple; the migration to newer value-based care (VBC) reimbursement models and the rise of consumerism in healthcare. Convergence comes in many forms ranging from Accountable Care Organizations

by Brian Murphy | August 14, 2017

Beyond Reporting: Analytics Moving to Point of Care

The 2017 Healthcare Analytics Market Trends Report is now available. Building on the 2014 and 2016 editions of this report, Chilmark returned to the market this year to assess critical changes in vendor solutions to see how well they map to provider needs. This report reveals that analytics vendor solutions

by Jennifer Rogers | July 25, 2017

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 PA technology solutions could benefit both providers and payers. Traditionally,

by Brian Eastwood | March 20, 2017

Driving Policy Without Healthcare Organizations: A Fool’s Errand

Healthcare in the United States faces many problems, but one of the bigger ones is bringing the right stakeholders to the table when it’s time to try to solve a problem. Often, the empty chair should be occupied by an individual – the overwhelmed patient, the uncompensated caregiver, the burned-out

by Jennifer Rogers | March 02, 2017

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 if any

by Brian Eastwood | January 04, 2017

Navigating Open Enrollment – Or, Why Informed Choices in Healthcare Are Nearly Impossible

Like many Americans, I have been covered by employer-sponsored health plans for the entirety of my professional career. As such, the open enrollment period that has garnered so many headlines over the last few years has conversely been of little concern to me. That changed this fall when, for a
View More >>

Stay up to the minute.

[bestwebsoft_contact_form]