The coronavirus (COVID-19) has dominated the news since the outbreak began in China early this year. As the situation evolves, health care companies and organizations should monitor four important risk areas: supply chain, patient demand, workforce supply and their t function. Supply chain According ... READ MORE >
Rick Kes
Medical cost ratio is a growing concern among health insurers
In recent weeks, health insurers Centene Corp., UnitedHealth Group Inc., and Anthem Inc. released earnings. Two others, Molina Healthcare Inc. and Humana Inc., will report later this month. Among the worrisome trends discussed on their earnings calls is a growing medical cost ratio, or MCR, the percent of ... READ MORE >
Health care faces demand for pricing transparency
On June 24, President Trump signed an executive order designed to improve transparency in the pricing of health care. It’s the latest move in an environment where consumers are exercising power over the cost of treatment, an area that historically offered them little wiggle room. Health care executives ... READ MORE >
Innovation is now part of the insurance ratings mix
Innovation appears to have reached the risk-averse insurance industry. A few weeks ago A.M. Best issued a press release seeking comment on draft criteria for scoring and assessing innovation at the insurance companies it rates. “A.M. Best has captured innovation indirectly through the various building ... READ MORE >
As telemedicine grows, a ‘digital front door’ lowers health-care costs
Telemedicine—like other industries where digitization of service has transformed an entire ecosystem—is dramatically changing health-care delivery. Many large integrated health systems view telemedicine as an opportunity to more affordably provide primary care. The technology allows patients to be ... READ MORE >