How Insurance Providers are “Bucketing” Value

Health insurance plans should be designed to spur the use of the highest-value pharmaceuticals as well as the highest-value care delivery services. In some cases, plans do seek to ensure access to the highest-value care regardless of how it is delivered. Think for a moment about implantable devices, from drug-eluting coronary stents to replacement joints. Patients don’t […]

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The Hard Truth Behind Chronic Care (and 5 Ways to End the Pandemic)

As accountable care organizations and providers start to absorb population health risks, chronic disease remains a daunting challenge. Typically lifelong and often lifestyle-affected, chronic diseases drive more than 75 percent of all healthcare spending. While success in this space is key to bending the cost curve, healthcare is failing at the task. Half of all […]

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