Jun 2016 The many ways in which decreasing volatility in individual health care utilization is valuable By Marc Herant Providers It is a long-standing hypothesis shared by many providers that communi… Read more
Oct 2015 Working paper: the coming age of algorithmic medicine By Marc Herant Payers , Providers , Digital , Summary In this working paper, we develop the following thesis. In the… Read more
Sep 2015 Can convenience care be a platform for an insurance product? By Tory Wolff Payers , Providers , Summary A Portland-based urgent care operator is launching a health p… Read more
Sep 2013 ACO proliferation and provider “all-payer” care models inexorably lead to tighter network strategies By Tory Wolff Payers , Providers A new study in JAMA (by McWilliams et al.) looks at the Medicare expen… Read more
Jul 2013 Ambidextrous strategy: PART 2 – Scenario Implications By Nikhil Bhojwani Payers , Providers In our last post we introduced two potential scenarios. "Provider bas… Read more
Jul 2013 Ambidextrous strategy: PART 1 – Payer and provider strategy for two very different worlds By Nikhil Bhojwani Payers , Providers It seems like every day there’s some news outlining strategic actions … Read more
Jun 2011 Blue Shield of California’s unilateral profit cap: competitive gambit or PR move? By Tory Wolff Payers Summary: Blue Shield of California (BSC) has committed to keeping pro… Read more
Feb 2011 How can a health plan weather the MLR hit to profitability? Some clues from Coventry By Tory Wolff Payers Summary Health plan profits will be down dramatically in 2011 due to … Read more