Healthcare DIVE January 8, 2018
Les Masterson

Dive Brief:

  • In its “2018 Healthcare Industry Outlook,” Avalere predicted a year full of changes to the healthcare system, including a continued move to value-based care, possible attempts to repeal the Affordable Care Act (ACA), mergers and consolidations and technological changes.
  • Avalere said data reliability and accessibility, including capturing information and creating algorithms, will drive outcomes-based contracting, innovative network design and a transition toward alternative payments models (APMs).
  • Medicare Advantage (MA) will remain popular with payers, but the end of the individual mandate penalty may cause some insurers to leave the exchanges.

Dive Insight:

Avalere said the transition to APMs remains steady despite Medicare bundled payment changes and cancellations. Nearly 50% of the largest commercial plans’ medical spend...

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Topics: ACA (Affordable Care Act), Market Research, Medicare Advantage, Mergers & Acquisitions / JV, Payer, Public Exchange, Value Based
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