The plan du jour requires a different mindset and approach in order to succeed. Be sure to include incentives.
Turning the Corner
Looking at past enrollment shifts and at the evolution of managed care can shed light on how to compete in the new market for account-based consumer-directed care, now expected to become one of the predominant health plan models.
Some large health insurers are starting to offer limited-benefit plans (often called mini-meds) for an unexpectedly vibrant niche — the working poor.
Paying for performance promises improved quality, reduced cost, and higher income for doctors. So why are some of them worried?
Stakeholders are pushing for a national clinical trial registry, and efforts by UnitedHealth Group are in the forefront. Medical journals are setting hard and fast rules.
Regional health information organizations are getting more scrutiny on Capitol Hill. They might hold the key to funding a national online network that links providers.
While the potential of consumer-directed health plans is promising, this design still leaves many questions about coverage unanswered.
Employers and state governments are getting together to design imaginative programs to cover low-pay workers.
The Formulary Files
Managed Care Outlook
Pay-for-performance programs imply improved patient care, but are frustrated by fragmented data collection and reporting systems. Think big.