Scrambling to rescue ACO’s

Health care systems such as the Mayo and Cleveland clinics  – which are organized the way policy makers envision accountable care organizations – initially balked at the rules proposed by CMS. Now, the rules have changed. After receiving a significant Continue Reading …

On the Horizon: Individual Insurance Market Changes

A description of the individual health insurance market shows that premiums tend to be lower, and benefits less expansive, than in the group or employer-sponsored market. But change is right over the horizon. The authors of the current study proclaim Continue Reading …

The Essentials

Under the direction of the Patient Protection and Affordable Care Act of 2010 (PPACA), individuals and small businesses are to receive a certain package of diagnostic, preventive, and therapeutic services and products that are defined as “essential” by the Department Continue Reading …

Quality over Quantity: Reforming Payment

A new research report from the RAND Corporation and sponsored by the National Quality Forum offers insight into for medical services. A response to the leading trend among health care payers to pay for quality instead of quantity, the lengthy Continue Reading …