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Outcomes-based Pricing Program Puts Money in Beneficiaries’ Pockets
Harvard Pilgrim’s program gives rebates to beneficiaries if Repatha doesn’t help them avoid a heart attack or stroke.
Tom Price, the ACA’s Ardent Foe, Pushes For Repeal and Replace–With a Smile
Affable and engaging, the new HHS secretary is a staunch conservative who says ACA coverage is “useless” because of high deductibles and that the GOP has something better to offer.
Mark Bertolini Wants To Take The ‘Nasty’ out of Insurance
His roots are modest. His ideas for Aetna, health care, and even capitalism are not.
Scott Gottlieb Believes a Nimbler, Speedier FDA Can Spur Competition, Lower Prices
Critics see danger in loosening rules and a new FDA chief who might not be tough enough on those he is supposed to regulate.
Seema Verma Does Her Homework, Pushes for Beneficiaries To Have More on the Line
The new CMS administrator made her reputation in Indiana with a Medicaid program that she says has “strong personal responsibility mechanisms” built in, including monthly fees.
Bernard Tyson Preaches Gospel of Tech–and Change
The Kaiser CEO sees a future in which telehealth rules—and consumers know their bodies at least as well as they know their cars.
Elisabeth Rosenthal, A Storyteller Who Hopes Her Telling Will Make a Difference
After penning a book that slams greed, waste, and confusion in health care, Elisabeth Rosenthal, MD, is in a position to push back as editor-in-chief of the increasingly influential Kaiser Health News.
James Capretta, a Conservative Health Care Policy Expert, Is Suddenly a Hot Ticket
Conservative? Definitely. James Capretta is the first Milton Friedman Chair at the American Enterprise Institute. But he says partisanship makes health care unstable, politically and otherwise.
Paula Steiner Brings Her Blues Back Into the Black
The president and CEO of Chicago-based HCSC made tough decisions to raise premiums and narrow networks. But, at least for now, HCSC plans to stay in the ACA exchanges while other insurers are jumping ship.
Bob Kocher Believes (With Missionary Zeal) That Venture Capital Can Start To Cure What Ails American Health Care
Whatever happens to the ACA, says this upbeat doctor-policymaker-entrepreneur, it was only the beginning of health care’s transformation. But will this version of better health care mean pink slips?
ACOs Sit Like Gibraltar In Rough Seas of Change
They are expected to survive and possibly even thrive no matter what form the health system takes under the Trump administration.
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IN THIS ISSUE
LEGISLATION & REGULATION
Whether an ACA fix or GOP plans—or neither—prevail, these players are poised to determine what comes next.
VIEWPOINT
Zachary Hafner
Advisory Board
VIEWPOINT
Chad Johnson
Phoenix Children’s Care Network
Unified networks of providers are needed to pull off the much-talked about switch from volume to value.
NEWS & COMMENTARY
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Paul Lendner ist ein praktizierender Experte im Bereich Gesundheit, Medizin und Fitness. Er schreibt bereits seit über 5 Jahren für das Managed Care Mag. Mit seinen Artikeln, die einen einzigartigen Expertenstatus nachweisen, liefert er unseren Lesern nicht nur Mehrwert, sondern auch Hilfestellung bei ihren Problemen.