Monthly Archives: December 2013

Payer Perspectives from AHIP

Post by Scott McLeod

Director of Product Marketing, Caradigm

I attended the Operations and Technology Forum, sponsored by America’s Health Insurance Plans (AHIP), in Chicago last month.

While targeted at health plans and insurers, the content may hold some lessons for healthcare delivery organizations as they take on more financial risk, operating under reimbursement methodologies that necessitate they think more like payers.

Three themes emerged from the slate of speakers featuring health plans, IT vendors and industry experts:

1. The challenges in launching health insurance exchanges (HIX),

2. The importance of analytics to understand the risk within the populations for which organizations are accountable, and

3. The role of cost and quality transparency in driving patient/consumer behavior. Continue reading