Predictive modeling is critical in being able to identify the rising-risk members for proactive and preventive care for Medicare and Medicaid plans taking on more risk in the form of capitated payments. L.E.K. Consulting projects Medicare Advantage enrollment rising from
The goal for any population health program should be to keep members healthy and prevent the onset and advancement of disease. Historically, population health programs have been disjointed because payers, providers, employers and communities execute isolated efforts with no collaboration
January 20, 2017, the day of Donald Trump’s inauguration marked a new era for the healthcare industry, one that’s filled with uncertainty and confusion. In other words: more of the same. One of Trump’s first acts after he was sworn
The healthcare industry is successfully transitioning to value-based care, even while the fate of the Affordable Care Act (ACA) remains unclear. This is according to a recent McKesson study that shows both payers and providers making profits from value-based care.