I want to kick off 2021 by record on the changes we could see in the year ahead. While 2020 was “unprecedented,” with a Democrat-led federal government, I expect a lot to change healthcare. In fact, I’ve come up with 21 digital health predictions about 2021 – and this first set is focused on the broad market themes that will be felt by every player. […]
Posts Tagged ‘ACA’
How Pharma Executives View Drug Pricing
The cost and affordability of drugs has been a central theme permeating the pharmaceutical industry for decades. Drugs are believed to be too expensive for patients to cover at the counter, even for those who are insured. The sentiment shared is by both Republicans and Democrats. The high cost of drugs can have significant repercussions, […]
The Future of Health Care with Donald Trump as POTUS
As we all take a collective deep breath after the conclusion of a long and quite nasty Presidential election, it is time to take a look at how health care will change when President-elect Donald Trump takes office. Donald Trump’s victory means an immediate push to repeal Obamacare. In addition to the Obamacare repeal, many […]
Air Travel or Healthcare Mega-Mergers: Same Impact on Customers
The health insurance shakeup continues, and last week’s $37 billion merger of health insurance titans Humana and Aetna is the latest in a wave of deal-making that is likely to reduce the number of large U.S. health insurers from five to three. In addition to the Aetna/Humana merger, Anthem and Cigna have acknowledged discussions about […]
ACA and QRS – Shoot for the Stars Part 3
In ACA and QRS – Shoot for the Stars Part 1, I laid out the overall domains that are going to be used to score QHP plans offered through the Marketplace. In Part 2, I discussed some factors to consider for the data derived measures. In this blog, we will take a closer look at […]
ACA and QRS – Shoot for the Stars Part 2
In ACA and QRS – Shoot for the Stars Part 1, I laid out the overall domains that are going to be used to score QHP plans offered through the Marketplace. In this blog, we will take a closer look at the data derived measures and what factors a QHP issuer should consider to achieve […]
ACA and QRS – Shoot for the stars! Part 1
Last month I posted “ACA’s Quality Rating System – An opportunity to gain market share”, which explained how QHP issuers can gain market share in the individual space. In that blog I mentioned that, as part of the Quality Rating System, plans offered on the Marketplace will receive a “Star” rating based on a 5 […]
Connect with Consumers as People, Not Numbers
It is a tumultuous time for the healthcare industry, and health plans are not immune to the disruption. The Affordable Care Act has raised a new level of consumer awareness about the purchase of healthcare and the competitive health plan environment. Battles for market share drive the need to understand member demographics and behaviors in […]