Three Topics That Dominated the AHIP Conference, and Two That Did Not

Posted by Peter Manoogian on Thu, Jun 27, 2019

Harbinder Raina and Colin Russi co-wrote this blog post with Peter Manoogian.

Executives from the nation’s largest insurance companies gathered in Nashville last week at the annual America’s Health Insurance Plans (AHIP) Institute & Expo conference. We attended the event, and here are our thoughts on what was (and wasn’t) discussed.


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How Health Plans Can Get Ahead of Market Disruptors

Posted by Florent Moise on Tue, Jun 25, 2019

This blog post is the second in a two-part series on Amazon’s potential impact on the delivery of healthcare. Zachary Alexander co-wrote this blog post with Florent Moise. 

It’s been more than a year since Amazon joined forces with Berkshire Hathaway and JPMorgan Chase to reduce healthcare costs and improve patient satisfaction among their 1.2 million employees in a joint venture called Haven. In our previous post, we explored the current state of Amazon’s efforts in healthcare, the creation of Haven and what a health plan for its employees could look like.


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How Vertical Integration Provides an Opportunity for Improved Member Engagement

Posted by Colin Russi on Thu, Jun 20, 2019

Vertical integration is a natural reaction from healthcare companies that face market uncertainty. A side effect of this integration is that these arrangements provide a unique opportunity to drastically improve the member experience. Historically, each link in the healthcare chain had built-in profit margins: The prescriber fee for service included a profit for the provider, the pharmacy captured its margin on any filled prescription, health plans attained their expected value in accordance with their medical loss ratio, etc. This easily managed system where each link generated a defined profit is changing due to market and public opinion, and regulatory forces. These forces, while numerous, originate from the reality that healthcare expenditure growth is unsustainable, growing from 12.5% of GDP to almost 17% of GDP in 15 years.


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The ‘Amazoning’ of Healthcare Will Bring Challenges and Opportunities for Health Plans

Posted by Florent Moise on Wed, Jun 12, 2019

This blog post is the first in a two-part series on Amazon’s potential impact on the delivery of healthcare. Zachary Alexander co-wrote this blog post with Florent Moise. 

I was an early adopter of Amazon in 1998. Months after its launch in the U.K., I placed an order online, and a Calvin and Hobbes book magically arrived at my doorstep in Paris a few days later. It enabled a transaction that, until then, had seemed impossible.


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How Providers Experience Value-Based Reimbursement, and What It Means for Health Plans

Posted by Peter Manoogian on Tue, Jun 04, 2019


Shruti Rangnekar co-wrote this blog post with Peter Manoogian. 

In a prior post, I explained how health plans must redirect their efforts to optimize and transform their existing provider value-based reimbursement (VBR) programs. As the decade of the “value-based space race” comes to a close, many health plans have successfully planted their flag and have taken giant steps toward shifting payment models away from purely fee-for-service.


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