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Article | December 15, 2020

Geographic Direct Contracting: Background & Strategic Opportunity

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On December 3, 2020, the Centers for Medicare and Medicaid Services (CMS) Innovation Center released details on the much-anticipated Geographic Direct Contracting Model, or “Geo.” Geo is a new payment and care delivery model designed to assess whether Direct Contracting…

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Executive Briefing | June 15, 2020

Building the Virtual Health Engagement Platform of the Future

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The next five years are primed to consolidate the future of virtual health given the green space for innovation. By leveraging the technologies enabling virtual care and integrating health information, virtual health can provide consumers with a fundamentally different experience…

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Executive Briefing | April 30, 2019

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

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“We’re going to have an interesting discussion in the next 5 to 10 years because Medicare Advantage has always been a smaller portion of Medicare and Medicare fee-for-service has dominated. Well, that’s changing now.” – Alex Azar, Health and Human…

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Whitepaper | February 28, 2018

Managing Effectively in Complex Chronic Populations

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Amid the clinical and financial transformation in healthcare, one area that continues to elude health plans is the appropriate management of care for members with multiple chronic conditions (MCCs). According to a HealthScape analysis, members with six or more chronic…

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Whitepaper | June 20, 2016

Take the Lead: Unlocking the Potential of Carrier-Provider Partnerships

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Our last briefing, It Takes Three to Tango, describes how a partnership framework involving carriers, providers, and consumers can be designed to drive improved health outcomes and sustainable financial stability. The collaboration model is comprised of two integrated parts—a Product…

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