Ashok Subramanian on why unit price is still a big deal
July 28, 2020
Suzanne Delbanco interviews Ashok Subramanian, CEO and Founder of Centivo, an alternative Third-Party Administrator (TPA) that emphasizes value-based direct contracting…
Benefit and Network Strategy
Peter Lee on what alignment means for large purchasers like Covered California
May 19, 2020
Suzanne Delbanco speaks with Peter Lee, Executive Director of Covered California Health Exchange, to discover how Covered California plans to…
Want to improve maternity care? Embrace health equity
April 28, 2020
Mother’s Day is around the corner, and one of the greatest gifts the United States can give to mothers is…
Mythbuster: Direct contracting will never become a real trend.
January 14, 2020
The health care marketplace continues to evolve, as health care organizations consolidate and experiment with new value-oriented models. As these…
Emily Chen on using data in direct contracting arrangements
December 17, 2019
CPR’s Program Director, Andréa Caballero, calls up Emily Chen, formerly CEO of MediQuire, to learn why purchasers are choosing to…
Tricia McGinnis on how Medicaid MCOs approach Social Determinants of Health
September 24, 2019
How and why are social determinants of health programs making their way into the Medicaid managed care realm? To find…
Mark Fendrick on unveiling a cost-neutral Value-Based Insurance Design option
September 10, 2019
Listen in as Mark Fendrick, Director of the University of Michigan Center for Value-Based Insurance Design and a practicing general…
You can’t build a network by casting a net
July 29, 2019
Unpacking the complexity of high-performance network design The National Business Group on Health (NBGH) predicted that by 2018 a staggering…
Can surprise billing happen to you?
July 22, 2019
Last week, we told you about a $4,999 surprise bill. I didn’t have a $4,999 surprise, but it was close.…
A $4,999.00 Surprise
July 12, 2019
What happens when a patient goes to the emergency room and gets treated by a doctor that’s out of network…