Executive Briefing | November 13, 2018

Navigating CMS’ Enhanced Program Integrity—Preparing for the Spotlight

By ,

On June 30th, CMS announced it was enhancing its Program Integrity efforts that focus on addressing improper Medicaid payments and CMS oversight of state Medicaid programs. The announcement introduced 8 initiatives, including stronger audit functions, enhanced oversight of state contracts…

Read More

Executive Briefing | September 12, 2017

Oscar Health & Cleveland Clinic Parter to Engage Consumers

By ,

In this market update, HealthScape Advisors explores trends in carrier – provider partnerships and defines the “missing ingredient” in many such models: effective consumer engagement. As the centerpiece of this update, we examine the innovative elements of a collaborative partnership…

Read More

Whitepaper | August 16, 2016

MACRAnomics: Patient-Level Economics and Strategic Implications for Providers

By

MACRA offers provider organizations strategic opportunities to think differently about their business models and pursue sustainable growth and margin levels. With increased accountability stemming from MACRA and related APMs, patient economics has come at the forefront of long-term strategy development.…

Read More