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Health Reform

Are Epiphanies the Key to Fixing Healthcare?

March 2, 2015 by Michael Dermer

epiphany / shutterstock

Perhaps epiphanies are the key to fixing the healthcare system. In an ideal world consumers would engage in healthy behaviors without any need for extrinsic rewards or other engagement tools and behavioral economic levers. Unfortunately, for many reasons, most consumers simply do not.[read more]

A New Protection for Americans with Pre-Existing Conditions?

February 25, 2015 by Brad Wright

pre-existing condition / shutterstock

“Under our plan, no one can be denied coverage based on a pre-existing condition.” Under the ACA, the phrase “no one” literally means “no one,” while in the Burr-Hatch-Upton proposal it means “no one who is continuously enrolled in a health plan offering at least catastrophic coverage following a one-time open enrollment period."[read more]

The GOP Replacement Plan: Common-Sense Consumer Protections?

February 24, 2015 by Brad Wright

GOP's plan / shutterstock

The Burr-Hatch-Upton proposal to repeal and replace the ACA leads off with a set of “common-sense consumer protections.” The narrative here is something like this: Consumers are the innocent victims of villainous insurance companies that have been emboldened by Obamacare, and it is up to us–the GOP lawmakers–to play the hero.[read more]

The Affordable Care Act: Healthcare Marketing Friend or Foe?

February 23, 2015 by Jonathan Catley

It is estimated that up to 32 million people will receive insurance coverage through the Affordable Care Act. While a veritable flood of new patients may seem like a medical marketer’s dream come true, practices that are already stretched thin may not be able to adequately handle more patients.[read more]

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Five Ways to Lead an ACO to Failure

February 23, 2015 by Andrew Mellin

accountable care / shutterstock

Creating an ACO in a health system or network requires new organizational structures, new IT capabilities and, most importantly, new leadership skills. Learn five mistakes that experienced, successful leaders avoid when developing an ACO.[read more]

The GOP Replacement Plan: Summarizing the Executive Summary

February 20, 2015 by Brad Wright

GOP's plan / shutterstock

This is the first post in a series that looks in detail at the GOP’s newly proposed plan to repeal and replace the Affordable Care Act (ACA). Today, I want to take a look at the paragraph in the executive summary of the plan proposal that motivates the GOP’s desire to repeal and replace the ACA.[read more]

2015 Means an Increase in Medicare Penalties for Readmissions

February 17, 2015 by Abby Norman

For the third year in a row, Medicare will be increasing the percent penalty for hospitals who have high readmission rates: up now to 3% in 2015. Despite efforts through the ACA and readmission reductions programs, the rate of readmissions continues to rise.[read more]

The Walking Gallery: Personalizing Patient Stories [Podcast]

February 9, 2015 by Janet Kennedy

Regina Holliday

Regina Holliday faced a medical crisis - her husband Frederick's cancer diagnosis - and found that the patient's experience, input or feedback had no place in the healthcare system. After the death of her husband, Regina resolved to speak out about patient advocacy the best way she knew how: with her art.[read more]

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Sequencing the Insurance Genome

February 5, 2015 by Edgar Wilson

personalized medicine / shutterstock

The President's Precision Medicine Initiative makes a lot of promises. But with all of the focus on the tech and modernity of personalized care, the importance of the policy challenges seems to be missing—undermining the very significance any potential success the new initiative might have enjoyed.[read more]

Do Health Plans Have a Future?

February 3, 2015 by David E Williams

insurance policies / shutterstock

Not to be cynical, but in the insurance business the best way to make money is to discourage risky people from becoming policyholders and to exclude from coverage anything that a policyholder is likely to file a claim for. In the real world, insurance regulations temper these strategies, but don’t eliminate them completely.[read more]

Finding Information in Healthcare Exchanges

February 2, 2015 by Kenneth Thorpe

Healthcare exchange questions

Do the consumers who are newly enrolled in health insurance plans know exactly what they’re purchasing with their monthly premiums? Can they keep their doctors? If they have a serious illness or incur one, will they have affordable access to the medications they need? Finding the answers to these questions can be incredibly challenging.[read more]

The Personalized Medicine Market in 2015 [INFOGRAPHIC]

January 26, 2015 by David Avitabile

personalized medicine

As part of last week's State of the Union address, President Obama called for a national initiative focused on precision medicine. With that in mind, we decided to take a look at some of the numbers related to the growth of personalized medicine, and see what story they tell about the personalized medicine market in 2015.[read more]