Latest Commentary

Medicare's potential reimbursement for end-of-life discussion: A big step forward

Guest post from Jonathan H. Burroughs, M.D., president and CEO of The Burroughs Healthcare Consulting Network Dying in America is big business. It is estimated that most Americans spend almost half...

Looking past King v. Burwell: Business implications for health insurance plans

For insurance plans, the King v. Burwell decision affirms tax credits will be available for the 6.4 million who might have lost coverage. It also has the immediate effect of temporarily stabilizing premiums and likely participation in the 19,000,000 enrollee individual insurance market. But beyond this, a number of issues and challenges relevant to insurers remain as part of the unfolding of the Affordable Care Act's implementation.

As the health insurance merger world turns: Drama, plot twists and cliffhangers

While predictions that the Affordable Care Act would force insurers that specialize in employer-sponsored health plans to recalibrate haven't really panned out, many analysts agree that the decision to uphold a key facet of the ACA provided the stability necessary for deal-hungry insurance companies to make a move.

And move they have. Here are some of the recent developments in the soap opera I've come to call "How the Insurance World Turns."

At AHIP Institute, collaboration is the name of the game

Many relationships in healthcare can best be described as adversarial. Patients often distrust payers and don't understand how the healthcare system or their own provider organization works....

AHIP Institute agenda filled with familiar themes

Later this week I head to Nashville for the annual America's Health Insurance Plans AHIP Institute conference. In the midst of relentlessly checking the weather--I've been told the...

Talk of possible Aetna, Anthem acquisitions reaches fever pitch

It's time to play "Let's Make a Deal." Or, perhaps, "The Price Is Right." Also, "Who Wants to Be a Millionaire?" In case you missed the news--and, judging from...

A healthcare funding story only fit for Florida

Spend enough time on the Internet and you eventually come across a meme called Florida Man. The term typically describes an oddball criminal committing the sort of misdeed that, for whatever reason,...

Finding universal truths in healthcare analytics case studies

It's hard to have a broad conversation about either analytics or healthcare. Both topics are quite academic, and neither lends itself to credible generalities, so before very long, the conversation often turns to a narrow set of data or a specific medical specialty. It's even harder to have a broad conversation about analytics in healthcare. 

It's time to make Blue Shield of California a for-profit insurer

As a native of the Boston area, I often view California with a mix of awe, intrigue and bewilderment. What's it like to have cities laid out in a sensible grid? Why isn't everyone in the...

Medicare Advantage rates, risk scores and the future of senior healthcare

Sometimes, in the midst of reporting the news day after day, you miss the proverbial Big Picture. It usually takes several stories centered on a common theme, along with some sort of memory trigger,...