More and more, we are seeing health systems and physician groups move up the value chain and become risk managers, rather than volume-drivers.

Partner, Health & Life Sciences, Oliver Wyman
Partner, Health and Life Sciences, Oliver Wyman
Associate, Oliver Wyman

For states already struggling to balance their budgets, adoption of near-final federal rules for Medicaid are likely to pose significant burdens.

Partner, Health and Life Sciences, Oliver Wyman

New guidance from the Centers for Medicare & Medicaid Services ends prolonged confusion over Medicaid pharmacy reimbursements.

Partner, Health and Life Sciences, Oliver Wyman
Engagement Manager, Oliver Wyman

Physicians have to view a redesigned compensation package as a mutual benefit to them and the health system to spur real change.

Partner, Health and Life Sciences, Oliver Wyman

In the world of healthcare, the Medicaid segment is one that plans and providers alike struggle with serving well. The financial constraints, language barriers, transient housing, and varying needs make this a difficult population to focus on.

Partner, Health and Life Sciences, Oliver Wyman

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As Managed Medicaid continues to grow, payers have been trying their hand at Medicaid member incentive programs as a lever to improve member health and thereby control medical costs.

Partner, Health and Life Sciences, Oliver Wyman

How a physician compensation plan can be designed to both gain doc buy-in and realize the promises of value-based care.

Partner, Health and Life Sciences, Oliver Wyman

Medicaid has always been a difficult market, managed at the state level, heavily (and confusingly) regulated, and designed to serve an exceptionally diverse population.

Partner, Health and Life Sciences, Oliver Wyman

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.

Global Head, Health Services, Oliver Wyman
Global Head, Provider, Health and Life Sciences, Oliver Wyman
Partner, Health and Life Sciences, Oliver Wyman

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.

Global Head, Health Services, Oliver Wyman
Partner, Health and Life Sciences, Oliver Wyman
Partner, Health and Life Sciences, Oliver Wyman

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