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The Library: What happens when an employer attempts to pay a provider less?
Jun 21, 2024
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The Library: What happens when an employer attempts to pay a provider less?

Exploring the Montana state health plan's experience in launching a reference-based pricing program

Kevin O'Leary
Kevin O'Leary
The Library: Using Organizational Design Theory to Analyze Innovation Outcomes
Jun 06, 2024
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The Library: Using Organizational Design Theory to Analyze Innovation Outcomes

Exploring the strategic implications of Galbraith's Star Model as it relates to healthcare innovation

Kevin O'Leary
Kevin O'Leary
The Library: Examining Healthcare Costs in McAllen, Texas
May 30, 2024
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The Library: Examining Healthcare Costs in McAllen, Texas

Revisiting Atul Gawande's exploration of the drivers of rising, and then falling, Medicare costs in McAllen Texas

Kevin O'Leary
Kevin O'Leary
The Library: The Medicare Advantage Bid Process
May 23, 2024
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The Library: The Medicare Advantage Bid Process

A helpful explainer of the strategic importance of the MA bid process

Kevin O'Leary
Kevin O'Leary
The Library: A 2019 View on Primary Care Disruption
May 09, 2024
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The Library: A 2019 View on Primary Care Disruption

Revisiting a post looking at the potential for Primary Care 3.0 coming out of JPMorgan 2019

Kevin O'Leary
Kevin O'Leary
The Library: CMMI's Lessons Learned at 10 years
May 02, 2024
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The Library: CMMI's Lessons Learned at 10 years

Exploring the learnings from CMMI's 54 new payment models in its first decade

Kevin O'Leary
Kevin O'Leary
The Library: exploring the original Bright Health investment thesis
Apr 18, 2024
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The Library: exploring the original Bright Health investment thesis

Bessemer's investment memo articulating the case to invest in Bright's Series A in 2016

Kevin O'Leary
Kevin O'Leary
The Library: Walmart's repeated attempts at entering care delivery
Apr 11, 2024
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The Library: Walmart's repeated attempts at entering care delivery

Exploring the last twenty years of retail attempts to enter care delivery

Kevin O'Leary
Kevin O'Leary
The Library: Barriers to adoption of advanced primary care models
Apr 04, 2024

The Library: Barriers to adoption of advanced primary care models

A 2020 analysis highlights the financial incentives underlying percent-of-premium contracts

Kevin O'Leary
Kevin O'Leary
The Library: Iowa's exchanges and the $12 million member
Mar 07, 2024
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The Library: Iowa's exchanges and the $12 million member

A rundown of the Iowa ACA market circa 2017 and a case study of a high cost patient

Kevin O'Leary
Kevin O'Leary
The Library: A Hospital-at-Home Model Seeks PTAC Reimbursement
Feb 29, 2024
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The Library: A Hospital-at-Home Model Seeks PTAC Reimbursement

An effort by Contessa Health and Marshfield Clinic to get hospital-at-home care reimbursed

Kevin O'Leary
Kevin O'Leary
The Library: UHC's efforts to provide housing to Medicaid members
Feb 22, 2024
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The Library: UHC's efforts to provide housing to Medicaid members

A deep dive on the MyConnections program, a "hotspotter" model for UHC Medicaid members

Kevin O'Leary
Kevin O'Leary

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