What's Going On With Health Benefit Exchanges?
August 30, 2011 It is quite amazing to see the reaction to the health insurance/benefit exchanges that have been mandated by the health reform...

Insurance Exchanges: Why Do States Have To Pay For Them?
July 13, 2011 What if payers actually fund the exchanges? Before you all from the payer side pull out your daggers, give me two minutes...

ACOs: Old Wine In A New Bottle?
June 6, 2011 Accountable care is not necessarily a new concept, but the emphasis on collective risks and rewards make it stand out.

The Medical-Loss Ratio Conundrum
April 20, 2011 Since I wrote my last blog regarding the confusion that I have with the whole medical-loss ratio mandate, I have been...

Medical Loss Ratio: The Good, The Bad, The CONFUSING
April 8, 2011 As you might have guessed from my previous posts, I’m more or less in favor of the health care reform mandates, but there...

HIE, HIX: Are They Really That Far Apart?
March 1, 2011 I came back State-side and lo and behold there is a whole new can of worms opening up. First thing I read on my return is that...

The Role of Brokers In Health Benefit Exchanges
January 18, 2011 With health benefit exchanges to become operational by 2014, there will be an impact on core broker business, since entire...

What Will Health Benefit Exchanges Look Like?
December 30, 2010 The Department of Health and Human Services has established the minimum set of benefits health benefit exchanges can offer...

Where To Focus: Health Exchanges Or The Individual Market?
November 19, 2010 Isn’t that the million-dollar question? Not a single day goes by that I don’t hear or read opinions about the...

CER: Much More Than a P4P Tool
September 23, 2010 Comparative effectiveness research is the big buzzword these days. I can’t turn my head 360 degrees without having heard...

New Debate: ObamaCare’s Comparative Effectiveness Research
August 25, 2010 Recognizing the urgency to fix the escalation of care costs, health care reform may soon define “right care” in part...

Meaningful Use: A Start For Reform, Not An End
August 11, 2010 With finalization of meaningful use criteria, I see the providers gearing up to tap the promised bounty of $27 billion. The...

Has the Fat Lady Started to Sing for the So-called ‘Legacy Applications’?
July 27, 2010 Be it healthcare reform, requiring payers to use at least 80 percent of their premium revenues to pay claims, or the insurance...

To Crosswalk Or Not To Crosswalk?
July 14, 2010 My shameless plagiarism aside, the question about the transition from ICD-9 to ICD-10 is definitely being asked in all the...

ICD-10 and Meaningful Use … The Twains Shall Meet, for Sure
July 8, 2010 The ultimate goal of all the reforms that are being passed left, right and center is reducing the cost of care while...