Insights on Healthcare Systems & Services


Extending the use of episode analytics beyond alternative payment models

– Payers (and providers) that have dismissed bundled payments or treated it as a narrow part of their strategies may under-appreciate the value of episode analytics in improving core business functions.

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Center for US Health System Reform

Our source on the economics of health, implications of the Affordable Care Act and other health policies related to reform, the Center undertakes original research and develops tools to help navigate in a post-reform era.

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Spinning customer insights into business gold

– Few healthcare organizations fully leverage customer insights to drive decision making and performance. Here’s how you can translate... that data into concrete business initiatives.

The Medicaid Agency of the Future: What capabilities and leadership will it need?

– Medicaid’s scale and complexity are unprecedented. State Medicaid leaders will need to innovate if they are to develop the capabilities... that will enable them to steer their agencies into the future.
Article - Quarterly

Putting the right price on customer interactions

– Consumers are willing to pay more for choice in their interactions, yet most companies remain perplexed about which ones their... customers really want—and how much to charge for them.

Insights into the 2018 individual exchange market

– This analysis reflects carrier participation, pricing, and plan type trends for the 2018 individual exchange open enrollment period.... Findings are across 50 states and D.C.

Low back pain: Two insights on treatment patterns from a patient journey analysis

– Low back pain is common and costly. By providing a longitudinal view of treatment patterns, patient journey analytics can identify... opportunities for timely, high-quality, cost-effective interventions.

Next-generation analytics meets first principles

– As more data about individuals with special care needs becomes available, the latest innovations in data analytics can be used... to transform care delivery for them in a financially sustainable way.

Planning for the future of healthcare—Ken Burdick, CEO, WellCare

– Ken Burdick, CEO, WellCare shares his perspective on major trends and opportunities in US healthcare with David Nuzum, Senior... Partner, and Company.

Planning for the future of healthcare—Marc Harrison, President & CEO, Intermountain Healthcare

– Marc Harrison, President and CEO, Intermountain Healthcare shares his perspective on overcoming challenges and his leadership... priorities with Brendan Buescher, Senior Partner, and Company.

The granularity of Medicaid MCO growth

– Despite present uncertainties, MCO leaders can still aspire to grow—and make decisions to support that aspiration. Our research... shows that the key sources of growth for Medicaid MCOs are strategic, not operational.

The new scale imperative for children's hospitals

– Recent trends are changing the scale equation for children’s hospitals. However, the right new approach for each hospital will... depend on its needs and strategic aspirations.

Artificial intelligence in health insurance: Smart claims management with self-learning software

– At health insurers, artificial intelligence can strengthen claims management by systematically identifying and correcting errors... while avoiding ineffective interventions.

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