How Health Plans Can Keep Members on Board in a Post-Safe Harbor World

Posted by Shreya Raghuraman on Wed, May 15, 2019

Peter Manoogian and Josh Lacey co-authored this blog post with Shreya Raghuraman.

The Department of Health and Human Services’ proposal to eliminate safe-harbor protection for drug discounts has prompted a fierce debate about how the healthcare value chain will weather a new world in which drug rebates are distributed at the point of sale. Now that the proposal’s comment period has closed, we’re left waiting with bated breath for the final ruling. As health plan leaders prepare for a potentially major transition, a key question arises: What should organizations do now to avoid unintended consequences to the member experience?


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Three Key Takeaways From the RISE Nashville Conference

Posted by Josh Lacey on Wed, Apr 17, 2019

Florent Moise and Peter Manoogian co-wrote this blog post with Josh Lacey. 

The 2019 RISE Conference brought more than 1,000 leaders from health plans and provider organizations to Nashville to discuss a variety of topics impacting the delivery of healthcare today. Among these, risk adjustment was top of mind in many sessions, partly because it’s a relatively new endeavor and partly because it’s a key driver of plan revenue from CMS that requires focused inputs from providers. However, RISE wasn’t just a risk adjustment conference. Sessions also focused on member engagement, provider engagement and data integration. These three topics must be combined for successful risk adjustment, and they’re also critical for health plans in many other facets of how they operate:


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What Will HIPAA-Compliant Voice Assistant Programs Mean for Health Plans?

Posted by Peter Manoogian on Mon, Apr 15, 2019

It seems like a week doesn’t go by without Amazon making news in healthcare. Most recently, the tech giant announced that Alexa, its AI-driven voice assistant, now has HIPAA-compliant features. This will enable consumers to access their individual health information via voice command in a manner that complies with U.S. health privacy laws. 


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Surviving or Thriving? A Call to Look Under the Hood of Value-Based Care

Posted by Peter Manoogian on Mon, Mar 18, 2019

 
I recently went on a father-son trip to Florida. My dad isn’t much of a traveler, so I had to lure him out of the house by pairing the trip with something of interest to him: a car show. He has always been quite the classic car enthusiast. My early childhood days often consisted of sitting with him in the garage and helping him restore cars.


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How ACA Plans Can Stay Agile in a Tightening Market

Posted by Adam Chernew on Fri, Feb 22, 2019

Peter Manoogian and Josh Lacey co-wrote this blog post with Adam Chernew.

February marks the end of open enrollment on the federal and state health insurance exchanges created by the Affordable Care Act (ACA), and while a few state-based exchanges have yet to report their final numbers, it’s clear that 2019 enrollment (around 11.5 million people) on the ACA exchanges will fall just short of 2018 results (around 11.8 million people). Of course, this difference is minor compared to the difference between the Congressional Budget Office’s original 2019 enrollment projection (made in 2010) of 24 million.


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