As healthcare providers start to bear more financial risk for managing population health, they're making larger investments in commercial insurance assets to build their actuarial expertise.
As healthcare providers start to bear more financial risk for managing population health, they're making larger investments in commercial insurance assets to build their actuarial expertise.
Top executives touted these moves to bondholders and prospective investors this week at the JP Morgan Healthcare Conference in San Francisco.
Catholic Health Initiatives, for instance, said it is in talks to buy an unnamed commercial health plan with 70,000 members that operates in one of its current states.
The system is also using Soundpath Health, a Medicare Advantage plan in Washington state in which CHI purchased a majority stake last March, as a platform to partner with other insurers. Like many commercial payers, the health system has seen the opportunity that will come from an aging baby boomer population.
Read the full story here: http://bit.ly/1e87zIJ
Source: Modern Healthcare
Hospital Participation in Medicare ACOs: No Change in Admission Practices and Spending
August 19th 2025Hospital accountable care organization (ACO) participation did not impact emergency department admission rates, length of stay, or costs, suggesting limited effectiveness in reducing spending for unplanned admissions and challenging hospital-led ACO cost-saving strategies.
Read More
Laundromats as a New Frontier in Community Health, Medicaid Outreach
May 29th 2025Lindsey Leininger, PhD, and Allister Chang, MPA, highlight the potential of laundromats as accessible, community-based settings to support Medicaid outreach, foster trust, and connect families with essential health and social services.
Listen
Care Quality Metrics in Medicare During COVID-19 Pandemic
August 12th 2025Medicare Advantage outperformed traditional Medicare on clinical quality measures before and during the COVID-19 pandemic; mid-pandemic, however, traditional Medicare narrowed the gap on some in-person screenings.
Read More