Nov 2011 Emerging Unintended Consequences of Health Care Reform By Nikhil Bhojwani Payers , Providers In complex system, even small changes can have big, unexpected consequ… Read more
Nov 2011 The CIGNA-Healthspring deal: local share key to top-line synergies but still missing from the equation By Tory Wolff Payers , Providers Summary Provider discounts are a key priority for national accounts –… Read more
Nov 2011 Six strategic choices made by CMS in the final ACO rules By Tory Wolff Payers , Providers 1. The final ACO rules largely maintain the demanding economic paramet… Read more
Sep 2011 Narrow networks: adoption growing among smaller groups By Tory Wolff Payers , Providers Kaiser’s latest employer benefits survey offers some interesting data … Read more
Sep 2011 The Steward-Tufts deal and the looming threat of provider-led narrow network insurance By Tory Wolff Payers , Providers The Stewards-Tufts deal announced today will create a narrow network i… Read more
Sep 2011 A gradual roll-out of ACOs will minimize disruption and resistance By Tory Wolff Payers , Providers Part of the theory of ACO value creation is trading off more primary c… Read more
Sep 2011 Upping in ante in Pittsburgh: the health information exchange arms race By Tory Wolff Payers , Providers A few weeks ago, UPMC announced an agreement among nine area systems t… Read more
Aug 2011 Provider incentives in the commercial ACO: retaining a small share of savings in return for future volme growth By Tory Wolff Payers , Providers Earlier this month, Blue Shield of California announced 2010 results f… Read more
Aug 2011 Partners’ acquisition of Neighborhood Health Plan: reinforcing the role of community health centers in the care continuum By Tory Wolff Payers , Providers Much of the public speculation (for example here and here) regarding t… Read more
Jun 2011 Highmark and West Penn: it’s about mitigating consolidation, not transforming the system By Tory Wolff Payers , Providers Highmark will invest up to $475M in the West Penn Allegheny Health Sys… Read more
Jun 2011 Did Wellpoint overpay for Caremore? No….not yet anyway By Tory Wolff Payers , Providers Summary Wellpoint probably paid full value for Caremore (if that comp… Read more
Mar 2011 Primary care capacity and the looming Medicaid surge: Medicaid-focused providers must be part of the answer By Tory Wolff Payers , Providers Summary A new study from Center for Studying Health System Change su… Read more
Mar 2011 Revolution in Roanoke? Perspectives on the Aetna-Carilion deal By Tory Wolff Payers , Providers Summary The line between health plan and provider continues to … Read more
Feb 2011 Conventional wisdom that provider capacity drives cost questioned in new study By Nikhil Bhojwani Providers Remember the idea that coordination will improve care? Well, if physic… Read more
