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The Library

The Library: What happens when an employer attempts to pay a provider less?

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

Jun 21, 2024

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The Library: Using Organizational Design Theory to Analyze Innovation Outcomes

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

Jun 6, 2024

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The Library: Examining Healthcare Costs in McAllen, Texas

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

May 30, 2024

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The Library: The Medicare Advantage Bid Process

The Library: The Medicare Advantage Bid Process

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

May 23, 2024

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The Library: A 2019 View on Primary Care Disruption

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

May 9, 2024

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The Library: CMMI's Lessons Learned at 10 years

The Library: CMMI's Lessons Learned at 10 years

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

May 2, 2024

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The Library: exploring the original Bright Health investment thesis

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

Apr 18, 2024

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The Library: Walmart's repeated attempts at entering care delivery

The Library: Walmart's repeated attempts at entering care delivery

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

Apr 11, 2024

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The Library: Barriers to adoption of advanced primary care models

The Library: Barriers to adoption of advanced primary care models

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

Apr 4, 2024

The Library: Iowa's exchanges and the $12 million member

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

Mar 7, 2024

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The Library: A Hospital-at-Home Model Seeks PTAC Reimbursement

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

Feb 29, 2024

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The Library: UHC's efforts to provide housing to Medicaid members

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

Feb 22, 2024

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The Library: The Financial Impacts of a Direct Primary Care Model

The Library: The Financial Impacts of a Direct Primary Care Model

Diving into a case study that highlights the financial outcomes that a DPC model can have on an employer population

Feb 15, 2024

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The Library: Payor / Provider Negotiations in Asheville, NC

The Library: Payor / Provider Negotiations in Asheville, NC

Diving into a contentious 2017 negotiation between BCBSNC and Mission Heatlh

Feb 15, 2024

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The Library: An investor's "foursquare framework" for innovation

The Library: An investor's "foursquare framework" for innovation

Thinking about innovation in terms of the social and medical needs of patients

Feb 15, 2024

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