News and Insights

Competitive Differentiation

Creating Disruptive Innovation

Numerof Brief

The outlook for private health insurance remains fraught with uncertainty.  After decades of financial success, it’s difficult for many in the industry to think about meaningfully changing the current model beyond responding to the latest reinterpretation of the Affordable Care Act (ACA). However, no business model cast in stone can…

Transparency in Healthcare: Coming to Your Hospital Soon!


In August, 2013, Priority Health claimed the title of first health plan in Michigan to publish specific, regionalized health care costs and quality information by procedure, facility and physician.  The company launched this tool so plan members could review and compare prices and quality for more than 300 of the…

Building the Value Narrative for Employers and Insurers


Customers are expecting more of health care providers. The national debate about skyrocketing costs, concerns about quality and lack of transparency — plus the fact that consumers are shouldering more responsibility for the cost of insurance and treatment — have placed health care delivery in the crosshairs. Employees insured under…

Managing Key Physician Groups as Major Accounts (Part 2)


In our previously published companion article, we made the case that hospitals and health delivery systems need a systematic and proactive focus on managing physician relations, especially with key physician groups that generate a disproportionate share of hospital referrals. We also suggested that hospitals and systems could borrow profitably from…

3 Steps to Build Your Hospital’s Value Case

Becker's Hospital Review

The healthcare industry is in the midst of a revolutionary upheaval reflecting the concerns of patients, payers, providers and policymakers over spiraling costs, lagging quality and lack of transparency. In this time of heightened sensitivity by all parties to the value received and the cost incurred, it’s essential that you…

Making the Value Case for Your Wellness Programs

Managed Healthcare Executive

Private health insurance stands on the precipice of an uncertain future.  With the creation of health insurance exchanges and the entry of as many as 15 million uninsured into the market, insurance companies will need to become more effective at consumer based marketing.  Clearly, cost will be a major factor, but…