by John Moore | July 07, 2020
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 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
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
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 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 Jennifer Rogers | March 02, 2017
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 Jennifer Rogers | December 19, 2016
It won't happen in 2017 or 2018, but the argument can be made that PHM will likely include some form of benefit/coverage counseling in the mid-term future. PHM is still too immature as a market solution strategy, still being understood by HCOs, launched, refined, and further refined. After HCOs become
by John Moore | November 14, 2016
After a brutal election cycle, we are now on the other-side. The Republicans have taken control of the Hill and the White House. The many healthcare programs rolled-out under the Obama administration will now be put under the microscope. While we try to stick to IT-related topics, in healthcare one
