The fee-for-service model that's served us for so long is being replaced with different models, ones that typically move some of the burden of risk from payers (and employers) to care providers.
If today's health care environment can be described as a living laboratory, then most industry experts would agree that payment models are the experiments.
Electronic cigarettes, or e-cigarettes, which vaporize nicotine, are an emerging industry, and as some workers transition from traditional cigarettes to the electronic ones, the workplace can become a free-for-all.
The Patient Protection and Affordable Care Act introduced medical loss ratio rules into the U.S. health care system with the underlying intent to cap profitsand subsequently costsby requiring each carrier to have a medical loss ratio of 80 percent for most small employer and individual group policies, and 85 percent...
As the notion of value-based payment has taken hold in the health care marketthe concept that health care providers should be paid according to the quality of care they offer, as opposed to today's fee-for-service payment methodinsurers, from the Centers for Medicare & Medicaid Services to commercial payers, have had...
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{
"uri": "/2015/03/03/the-most-popular-payment-health-care-models/",
"title": "The most popular payment health care models",
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"summary": "The fee-for-service model that's served us for so long is being replaced with different models, ones that typically move some of the burden of risk from payers (and employers) to care providers.",
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"summary": "Discussions about health insurance almost always include at least an allusion to value.",
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"title": "Value-based insurance design",
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"summary": "Discussions about health insurance almost always include at least an allusion to value.",
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"uri": "/2015/02/01/living-laboratory/",
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"summary": "If today's health care environment can be described as a living laboratory, then most industry experts would agree that payment models are the experiments.",
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{
"uri": "/2014/12/16/constant-evolution/",
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"summary": "Great business ideas are born when entrepreneurs discover an industry need that hasnt yet been addressed.",
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{
"uri": "/2014/11/17/agency-reinvents-risk-management/",
"title": "Agency reinvents risk management",
"byline": "Amber Taufen",
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"prettyDate": "November 17, 2014",
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"summary": "Chiappino and his business partner started HealthKeys, which helps clients manage the underlying health risks inherent in their employee populations.",
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{
"uri": "/2014/11/12/what-should-employers-do-about-e-cigarettes/",
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"summary": "Electronic cigarettes, or e-cigarettes, which vaporize nicotine, are an emerging industry, and as some workers transition from traditional cigarettes to the electronic ones, the workplace can become a free-for-all.",
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{
"uri": "/2014/11/07/ppaca-growing-pains/",
"title": "PPACA growing pains",
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"prettyDate": "November 07, 2014",
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"summary": "So what can consumers expect from the exchanges this year?",
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{
"uri": "/2014/11/01/why-mlr-rules-might-not-be-effective-anymore/",
"title": "Why MLR rules might not be effective anymore",
"byline": "Amber Taufen",
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"prettyDate": "November 01, 2014",
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"summary": "The Patient Protection and Affordable Care Act introduced medical loss ratio rules into the U.S. health care system with the underlying intent to cap profitsand subsequently costsby requiring each carrier to have a medical loss ratio of 80 percent for most small employer and individual group policies, and 85 percent...",
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"uri": "/2014/11/01/chaos-theory/",
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"summary": "As the notion of value-based payment has taken hold in the health care marketthe concept that health care providers should be paid according to the quality of care they offer, as opposed to today's fee-for-service payment methodinsurers, from the Centers for Medicare & Medicaid Services to commercial payers, have had...",
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