Inside Angle

From 3M Health Information Systems

Tag: payer

Blog Post

The way we pay for health care in the U.S. is irrational

July 7, 2021 / By L. Gordon Moore, MD

As early as 1992, JAMA published a randomized control trial (gold standard for studies of impact) of telephone care. Patients liked it, doctors liked it, outcomes improved and costs went […]

Blog Post

Has your state or payer adopted EAPGs? Understanding the basics

August 12, 2020 / By Lisa Lanier

Florida is known for its high population of retirees. I just recently moved from the Panhandle down to Southwest Florida, leaving a mostly rural area with families and young people. […]

Blog Post

High performing value-based programs: Lessons from a successful payer-provider collaboration

March 26, 2018 / By Erika Johnson, L. Gordon Moore, MD

One of the “truisms” of value-based programs is that these programs align the incentives of the health care delivery system and the insurer, such that better care results in better […]

Blog Post

Payer-provider collaboration fosters market strength

June 21, 2017 / By Kristine Daynes

Profitability for a health plan used to be a factor of actuarial skill and efficient operations. Insurers tended to invest in technology to increase the efficiency of call centers, contract […]

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Expanding VBP arrangements to meet requirements and medical ecosystems

December 12, 2016 / By Shannon Garrison, Ryan Butterfield, DrPH, MBA

Following Medicare’s lead, New York State Medicaid has implemented requirements on health plans to rapidly increase the percentage of dollars being spent under value-based care arrangements. Not only will plans […]

Blog Post

Five things “payviders” can’t afford to overlook

July 25, 2016 / By Kristine Daynes

One surprising development as health care shifts toward risk-based payment is how many health systems intend to become insurers. According to one study, half of health systems have applied or […]

Blog Post

Bundled or bungled payment? Advice on how to succeed

March 28, 2016 / By Kristine Daynes

As CMS launches its mandatory bundled payment program, payers on the fence may be wondering if it’s time to push their providers toward bundles also. A number of commercial insurers […]