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 May 8, 2023

Risant Health, a New Disrupter on the Scene?

By Tawnya Bosko, PhD, DHA

The newly announced deal between Kaiser Permanente and Geisinger could turn out to be one of the most impactful health system partnerships in recent years.

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 May 5, 2023

Taking an All-Patient Approach to Advancing Health Equity

By Tawnya Bosko, PhD, DHA

As payers incorporate much-needed financial incentives to advance health equity, provider organizations and clinically integrated networks (CINs) should adopt payer-agnostic approaches for true transformation. Both public and private payers have...

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 April 13, 2023

Provider-Sponsored Health Plans—a Cure for Health System Woes or “Out of Their Wheelhouse”?

By Tawnya Bosko, PhD, DHA

Today’s economic uncertainty, rising costs and hospital financial performance coupled with major insurer reluctance to continue FFS rate increases have hospital and health system executives thinking about managing the health...

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 April 7, 2023

The Great Medicare Advantage Debate: Too Big to Fail, or Failing Because It’s Too Big?

By William Ringwood

Perhaps one of the hottest topics in healthcare today, Medicare Advantage (MA) is anticipated to have a monumental year in 2023. Not only do Congressional Budget Office (CBO) projections indicate...

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 April 4, 2023

Key Parameters for Evaluating a Value-Based Care Program

By Joe Maher, CPA, MBA

Health systems and providers have participated in alternative payment models ranging from pay for performance to full risk across all payer classes. Not surprisingly, many participants have exited these models...

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 March 8, 2023

Working Toward a New Normal: Insurance Coverage After the Public Health Emergency

By Tori Richie

For years Sg2 has tracked the pace at which baby boomers are aging into Medicare, the rise of high-deductible health plans and Medicaid expansion. This year brought a new forecasting...

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 January 12, 2023

Will 2023 Be the Year That You Fully Embrace Value-Based Care?

By Laura P Jacobs

Value-based care is a vital part of addressing the challenges the health care marketplace faces, and 2022 only reinforced what challenges lie ahead. As your organization faces these challenges in...

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 July 15, 2022

Should Your Organization Participate in Medicare’s New Enhancing Oncology Model?

By Tawnya Bosko, PhD, DHA

Health care providers should consider these questions when evaluating whether the Enhancing Oncology Model is a strategic fit for their organizations.

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 July 5, 2022

How the Expiration of MACRA’s aAPM Bonus Will Impact ACO Decision Making

By Tawnya Bosko, PhD, DHA

In the absence of congressional intervention, a significant financial incentive for physicians to participate in value-based payment models will disappear at the end of 2022. Providers will need to decide...

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 May 11, 2022

MSSP Season Is Here! Should You Participate, and if You Participate, Are You Prepared for Downside Risk?

By William Ringwood

Application process starts June 1, 2022, for Medicare Shared Savings Program (MSSP), which is Medicare’s established accountable care organization program that allows for new participants every performance year.

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 March 21, 2022

ACO REACH Is Here! How Will It Impact Your Value-Based Care Strategy?

By Regina Menza

On February 24, 2022, CMMI announced the ACO REACH Model, which will replace the current Direct Contracting Model on January 1, 2023, as the highest level of risk/reward total cost...

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 September 27, 2021

Direct-to-Employer Contracting: Understanding the Value of “Value”

By Sg2 Team

In today’s rapidly expanding direct-to-employer contracting sphere, it is of critical importance that employers understand the entire value equation.

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