Total Cost of Care
Value-based business models have evolved over time from basic pay-for-performance arrangements to partial and full-risk. 2023 will be the year...
Posts by landslide
Retail Healthcare
The emergence of the new “Big Four” in healthcare (i.e., Walmart, Amazon, Walgreens, and CVS), plus pilots by others (i.e.,...
Vertical Integration
Vertical integration continues to blur the lines between payers and providers. Payers will use acquisitions to expand their services and...
Omnichannel Healthcare
An increase in alternative site-based and virtual care has had a positive effect on patient outcomes and is more cost-efficient...
Medicare Advantage
Medicare Advantage (MA) enrollment continues to grow rapidly. Despite MA plans being under scrutiny in 2022 due to overcharging and...
Condition-Specific Solutions
As providers embrace data-driven results and are measured on their performance, patients will receive more appropriate interventions. Condition-specific reimbursements, including...
Pharmacy & Drug Spending
New entrants (i.e., Mark Cuban Cost Plus Drugs), plus innovative models from disruptors (i.e., Amazon RxPass) will push continued reform...
Price Transparency
Due to increased regulations for hospitals and Rx, there is an unprecedented level of availability of data around healthcare prices....
Consumerism
Digitally savvy consumers have higher expectations of their healthcare experience and and will demand higher quality, convenient, personalized care. Consumerism...
Convenience
As new solutions emerge, purchasers and individual healthcare consumers are given new choices in how they access and experience care....
Affordability
The emergence of shared risk contracts between employers and providers to achieve short and long-term cost reduction combined with data...
Employer Coalitions
As employers fight for industry transformation, coalitions are taking a more progressive role in shaping the future. National groups like...