Jim Fields

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Four Takeaways: ACA Rate Filing Deadline

Payers filed their ACA 2018 rates this week. Learn what happened, what it all means, and what comes next.

Beth Fritchen, FSA, MAAA  portrait

Beth Fritchen, FSA, MAAA

Partner, Oliver Wyman Actuarial Consulting
Jim Fields portrait

Jim Fields

Global Head, Health Services, Oliver Wyman
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Behind the Numbers: Cost Savings for the Highest Risk Population

The number of chronically ill and poor patients is growing as more people at the margins are receiving insurance coverage through Medicaid. Oliver Wyman research that suggests proper care for these patients, including meeting social needs such as mental illness, addiction, and poverty, could save $300 billion annually.

Jim Fields portrait

Jim Fields

Global Head, Health Services, Oliver Wyman
Josh Michelson portrait

Josh Michelson

Partner, Health & Life Sciences, Oliver Wyman
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Proposed Rules for Managed Medicaid Organizations: The Provider Impact

The Centers for Medicare & Medicaid Services (CMS) proposed last month a new set of rules for Managed Medicaid with the intent to alleviate some of the coverage and access challenges that face the States and their Medicaid populations, as well as align Managed Medicaid to Medicare Advantage and market standards.

Jim Fields portrait

Jim Fields

Global Head, Health Services, Oliver Wyman
Dan Shellenbarger portrait

Dan Shellenbarger

Global Head, Provider, Health & Life Sciences, Oliver Wyman
Parie Garg, PhD portrait

Parie Garg, PhD

Partner, Health & Life Sciences, Oliver Wyman
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CMS Proposed Rules for Managed Medicaid: A.K.A. Hello, Red Tape

Medicaid enrollment across the United States currently encompasses ~50M individuals, of which ~40M are enrolled in some form of Managed Medicaid. The covered population is expected to continue to grow, driven by factors such as Medicaid expansion, population growth, and economic challenges in select States.

Jim Fields portrait

Jim Fields

Global Head, Health Services, Oliver Wyman
Martin Graf portrait

Martin Graf

Partner, Health & Life Sciences, Oliver Wyman
Parie Garg, PhD portrait

Parie Garg, PhD

Partner, Health & Life Sciences, Oliver Wyman