Short read but helpful in understanding the conflicts of interest inherent in the healthcare landscape. PE plays a valuable role but like all other industries, buyer beware. Some of the associated links are worth the investment of time.....the more you know, the more you know ;-) Private Equity Is Ruining American Healthcare | MedPage Today
A quick read from Captive.com....its a good reminder on why captive group for the last two years has been exploding. 7 Ways Captive Insurance Companies Provide a Competitive Edge
Inside Kaiser Permanente’s Broken Mental Health Care System | (capitalandmain.com) Interesting read from Capital & Main. Helps explain why Kaiser is so hard to compete against. If you're limiting people's access to care, of course you can offer much lower rates.....smh.
Sunlife | High Cost Claims and Injectables Trend report Sunlife produces this annual report.... Nothing earth shattering here but its good info and can be used as a benchmark to measure our own performance against.
Dialysis is big business! For those in the know, the market is dominated by two entities: Davita and Fresenius, and they continue to expand their stranglehold on the market. Makes you wonder at what point does this monopoly get recognized by big brother? Freakonomics did a great job (as usual) summarizing the market and highlighting [...]
4-5-21-Milliman - Direct-Primary-Care - Actuarial Study This is a a worthwhile read to remind us of the key considerations of these models, and to help align our expectations of their potential, in both improvements in quality of care, and potential savings/cost increases of Direct Primary Care models. A more comprehensive, detailed study would have been [...]
Sutter Health is in the midst of a lawsuit for business practices that drove up health care prices for Californians. https://www.cbsnews.com/news/california-sutter-health-hospital-chain-high-prices-lawsuit-60-minutes-2020-12-13/
Why is adopting healthier behaviors so difficult for many of us? Health equity leader and orthopedic surgeon Mary O’Connor, MD, explores what contributes to our health and well-being as well as the power of community and emotional connection with others to support healthy change. She challenges us to recognize our responsibility and privilege to shape [...]
These Federal Poverty Guidelines offer critical information to benefit consultants to better assist them with helping people in need, such as: On the Federal Exchanges, the House Hold income determines a member's eligibility for subsidizes and cost cost sharing (many people still don't understand how this works) Practically all Pharmaceutical Companies are required to off [...]