Tag Archives: medical costs

Payers, avoid value leakage. Opt for the right comprehensive sourcing model

Part 2 of a 2-part series Payers leave a lot of value on the table when they manage IT, process, and medical costs separately. Our research shows that payers can achieve breakthrough cost savings improvements if they manage medical and operational costs together. This blog series offers a plan that enables payers to convert their […]
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Payers, avoid value leakage. Opt for the right comprehensive sourcing model

Part 1 of a 2-part series Payers leave a lot of value on the table when they manage IT, process and medical costs separately. Our research shows that payers can achieve breakthrough cost savings improvements if they manage medical and operational costs together. This blog series offers a plan that enables payers to convert their […]
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5 -priorities for groups pursuing a risk-based strategy

When you’re used to being paid based on a tally of procedures, it can be daunting to consider taking on the financial responsibility for outcomes. Where do you start? Or if you are already bearing some risk, how do you prepare to accept more? Organizations pursuing a risk-based strategy need to address five key areas […]
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Lessons learned from payers aid in shift to value-based care.

As fee-for-value payment models replace fee-for-volume models, providers are more often managing medical costs and risk. These are roles once dominated by payers. As providers find themselves needing to analyze risk, they can learn from health plans, employers and other payers — and adopt some of the same tools they use. One tactic providers can […]
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Providers can prepare to negotiate risk-based contracts.

Launch a web search for physicians and contracts. Much of the information you’ll find relates to employment contracts — agreements of hire, salaries, on call hours. But, with the changing health care industry doctors, hospitals and other providers are finding themselves negotiating new kinds of contracts. They are sitting down across the table from payers […]
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Three important tips for high-deductible plans

In 2014, the average person with a single-coverage, employer-sponsored plan had a $1217 deductible.1 According to a recent Commonwealth Fund study, more than 20% of insured adults ages 19-54 spend at least 5 percent of their income on out-of-pocket medical costs – not including premiums. Of that same group, 13% spend at least 10 percent […]
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The HSA as a retirement planning tool?

You know that the health savings account (HSA) that accompanies your employees’ high deductible health plan can help cover qualified out-of-pocket medical costs. But did you know that the HSA also can be used as a retirement vehicle? It’s true. In fact, according to the Employee Benefit Research Institute a person contributing for 40 years […]
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