Reference-based pricing: 3 models that cut health care cost inflation at its roots
April 12, 2021
Reference-based models address the root cause of high health care costs: the prices. Studies of health care costs reaffirm the…
NETWORK DESIGN
Linda Schwimmer on the health of New Jersey’s small group insurance market
October 26, 2020
Andréa Caballero, MPA, speaks with Linda Schwimmer, JD, President and CEO of the New Jersey Health Care Quality Institute (Quality…
It’s harvest season: What are purchasers reaping from their network strategies?
October 12, 2020
Julianne McGarry, Director of Projects & Research, wrote this blog Harvest season for health benefits data kicked off last week…
Chris Cigarran on why the status-quo is riskier than trying something new
August 11, 2020
Suzanne Delbanco connects with Chris Cigarran, CEO of Imagine Health, an alternative to traditional health insurance plans that uses partnerships…
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…
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…
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…
Got hospital “lemons” in your network? Ditch them or make lemon-“aid”?
October 22, 2019
A few weeks ago, we published a blog post on the challenges of building a high-performance network (HPN). We landed…
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…
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…