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Executive Briefing | January 21, 2020

2020 Healthcare Trends: The Year of Integration

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The market is continually shifting, but in 2020, the most meaningful shifts focus on a singular theme—integration. We believe that health plans that adapt and…

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Executive Briefing | August 22, 2019

Is Defined Contribution Coming to Healthcare?

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Will new trends drive defined contribution and a new consumer choice model? A recent Government final rule will give employers more flexibility in benefit offerings…

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Executive Briefing | August 22, 2019

Accelerating the Race to Value: The Impact of Regulatory Actions to Improve Price Transparency

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Recent Price Transparency regulatory actions requiring hospitals to disclose standard charges and negotiated rates between hospitals and health plans serve as a dramatic precursor towards…

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Executive Briefing | April 30, 2019

The Rise of Over-The-Counter Programs in Medicare Advantage Plans

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A review of the 2019 Medicare Advantage Annual Enrollment Period Supplemental Benefits reveals that the growth of Over-The-Counter (OTC) programs far outpace any other newly…

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Executive Briefing | March 5, 2019

Value-Based Care Requirements in Medicaid

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The absence of meaningful value-based requirements in state contracts does not indicate a “do-nothing” scenario. MCOs that lay the groundwork for advancing internal VBC initiatives…

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News | November 16, 2018

HealthScape Advisors Combines with Convey Health Solutions

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The combination of Convey, HealthScape, and Pareto solidifies our market position as the go-to partner for health plans to optimize member experience and outcomes, ensure…

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Executive Briefing | November 13, 2018

Navigating CMS’ Enhanced Program Integrity—Preparing for the Spotlight

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CMS recently announced that it was enhancing its program integrity efforts that focus on oversight of Medicaid programs. How should health plans respond?

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Executive Briefing | October 30, 2018

Wait… MACRA Impacts Med Supp?

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Because a provision in MACRA eliminates first dollar coverage, plans can no longer sell the most popular Med Supp plans C and F. Success in…

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hfm Magazine | September 6, 2018

Integrated Revenue Cycle: Coordination Between Insurers and Providers to Ensure Revenue Accuracy

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Traditional revenue cycle management arrangements that focus solely on billing and collections are no longer reliable. In a world of delegated risk models, providers must…

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