News and Insights

Modeling and Analytics

Making the Transition from Volume to Value

AHA’s Center for Healthcare Governance

With healthcare costs now claiming nearly 20% of GDP and quality lagging behind benchmarks, the urgent need to ensure better care at lower cost is increasingly plain to healthcare leadership. Providers at all levels need to begin the shift from a volume-based model to a value-based one that offers the…

Key Considerations for Entering Into Risk Sharing

eyeforpharma

Anyone looking at the healthcare system in the U.S. agrees that the dual goals of any reform have to be better outcomes at lower cost.  However these two factors, cost and quality, have not previously been linked — a situation that is almost unique to healthcare.  Imagine purchasing a new…

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…

Tighten Up Your Product Lifecycle Management

eyeforpharma

In today’s global market environment, payers are looking hard to reduce reimbursement and resist paying for incremental product enhancements.  On top of that, manufacturers’ revenue streams continue to be threatened by looming patent expiration dates and the simultaneous influx of generic competition.  What actions should companies consider taking to protect…

Transparency in Healthcare: Coming to Your Hospital Soon!

H&HN

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…

Diagnosing and Treating Readmissions

H&HN

Hospital readmissions arguably are one of the biggest clinical issues facing healthcare systems today.  Otherwise known as “bouncebacks”, readmissions have proven to be extremely costly, and are taken as a concrete metric of inadequate quality.  According to a September 19, 2013 study in The New England Journal of Medicine, nearly…