Dr. Galvin Comments on North Carolina Employee Healthcare Costs in WSJ

Wall Street Journal

Dr. Galvin was recently interviewed by Anna Wilde Mathews, the healthcare correspondent for the Wall Street, Journal regarding his opinion on North Carolina’s efforts to reshape its employee healthcare program. North Carolina’s intention is to change from a fee-for-service model to reimbursing at Medicare-negotiated rates. The article is accessible via the link below.

Andreas Mang Presents to BCBSA Network Executive Council

In September 2016, Andreas Mang, Chief Operating Officer of Equity Healthcare, presented to the Blue Cross Blue Shield Association’s Network Executive Council on Equity Healthcare’s population health model, the role of provider and performance networks in evolving benefit design, and linking payment reform and provider models to benefit design.

The Payment Reform Landscape: Tailoring Payment Reforms to Local Market Dynamics

Health Affairs

Providers and health plans are developing accountable care organizations (ACOs), patient-centered medical homes, and other health care delivery systems that require new forms of payment to deliver higher value care. CPR pioneered a market assessment to provide stakeholders with a systematic method for evaluating the characteristics of their market and how those characteristics interact and […]

What Are We Talking About When We Talk About Wellness?

“It is increasingly apparent that employers approach to wellness needs a fresh approach. The current model is based on a series of assumptions which have all proven to be incorrect: first, that the majority of costs are due to a set of conditions brought about by lifestyle choices; second, that if people complete a health risk appraisal (HRA) and then work with a 1-800 health coach they will change lifestyle behaviors, become healthier; third, that using financial incentives to increase participation will result in better outcomes; and fourth, that the lowering of medical costs will be greater than the spending on the wellness programs. A final assumption is that this approach to well-being will be a satisfier for employees and a tool for recruitment and retention.”