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- By Tory Wolff
Summary
The line between health plan and provider continues to evolve: the Aetna-Carilion deal exemplifies providers backward integrating into insurance (and contrasts with other providers exit…
- By Tory Wolff
Summary
Health plan profits will be down dramatically in 2011 due to MLR rules
Providing care management services to providers building out ACOs and medical homes can open new revenue streams outsi…
- By Nikhil Bhojwani
Remember the idea that coordination will improve care? Well, if physicians do not get timely reports from other providers, their patients seem to have lower costs!!! This from a new study o…
- By Nikhil Bhojwani
New MedPAC report on Medicare fee for service utilization finds large geographic variation not explained by underlying risk or better outcomes. Another indicator of our HC system gone haywir…
- By Nikhil Bhojwani
Prediction 1: Despite all the beating of drums we do not think there will be any major legislative changes between now and 2012.
controlling the house but not the senate and the White House does not…
- By Nikhil Bhojwani
A friend of mine pointed out some shocking data from a report released today from the Office of Inspector General.
More than a quarter of Medicare hospitalizations result in adverse events, half of…