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Transparency is Key to Free-Market Cost Control
Competition over healthcare prices and quality is coming. Transparency and the radical redesign of health insurance benefits will be its handmaiden. Companies such as General Electric are leading the way.
Competition over healthcare prices and quality is coming. Transparency and the radical redesign of health insurance benefits will be its handmaiden. Companies such as General Electric are leading the way.
The conglomerate, after years of experimenting with wellness programs to reduce healthcare costs, has moved its 500,000 employees, future retirees and their dependents into a high-deductible healthcare plan.
To aid these workers and families, it downloaded patient cost and outcomes data (it self-insures, so access to the claims wasn't an issue) into a Web-based tool and mobile app that allows patients to compare provider prices and quality. It even employs health coaches in telephone call centers to help people make choices that suit their financial and medical needs.
Read the full story here: http://bit.ly/1bzO7r1
Source: Modern Healthcare
AI Meets Medicare: Inside CMS’s WISeR Model With Sanjay Doddamani, MD, MBA, Part 2
August 5th 2025In this second part of his interview with The American Journal of Managed Care®, Sanjay Doddamani, MD, MBA, a former senior advisor to CMMI and founder and CEO of Guidehealth, continues a dialogue on the future of value-based care and the promise—and limits—of AI-enabled innovation, reflecting on challenges like rising Medicare costs and patients’ growing financial burdens.
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Trump Directs Pharma Companies on Cutting Drug Prices Under Most-Favored-Nation Order
July 31st 2025President Donald Trump has sent letters to pharmaceutical companies, aiming to compel them to lower drug prices in the US to match the lowest prices offered in other developed nations, a move that could significantly reduce costs and disrupt the current system of pharmacy benefit managers.
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