Insights

Fifteen+ years of
Healthcare thinking.

Several hundred perspectives on the questions facing payers, providers, biopharma, medtech, and digital health — plus our running read on the clinical literature. Start with our sharpest work, or filter to your world.

The many ways in which decreasing volatility in individual health care utilization is valuable

  • Providers
It is a long-standing hypothesis shared by many providers that communi…

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Working paper: the coming age of algorithmic medicine

  • Payers , 
  • Providers , 
  • Digital , 
Summary In this working paper, we develop the following thesis. In the…

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Can convenience care be a platform for an insurance product?

  • Payers , 
  • Providers , 
Summary A Portland-based urgent care operator is launching a health p…

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ACO proliferation and provider “all-payer” care models inexorably lead to tighter network strategies

  • Payers , 
  • Providers
A new study in JAMA (by McWilliams et al.) looks at the Medicare expen…

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Ambidextrous strategy: PART 2 – Scenario Implications

  • Payers , 
  • Providers
In our last post we introduced two potential scenarios. "Provider bas…

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Ambidextrous strategy: PART 1 – Payer and provider strategy for two very different worlds

  • Payers , 
  • Providers
It seems like every day there’s some news outlining strategic actions …

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Blue Shield of California’s unilateral profit cap: competitive gambit or PR move?

  • Payers
Summary: Blue Shield of California (BSC) has committed to keeping pro…

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How can a health plan weather the MLR hit to profitability? Some clues from Coventry

  • Payers
Summary Health plan profits will be down dramatically in 2011 due to …

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