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This paper discusses the changes to the financial benchmark methodology that measures the gross savings or losses of an accountable care organization under the Medicare Shared Savings Program.

This paper discusses the current and proposed rules related to evaluation and management services in the Medicare Shared Savings Program.

This paper discusses “Pathways to Success” and the important implications in store for Medicare accountable care organizations.

This article provides insight into the 2015 gross savings/(losses) achieved by accountable care organizations in their third performance year of the Medicare Shared Savings Program.

This report provides an overview of health insurer financial results in 2015 and evaluates changes in the health insurance industry’s expense structure and enrollment relative to prior years.

This report discusses a framework and metrics for measuring skilled nursing facility (SNF) performance, explores SNF performance levels across the United States, and provides a quantitative assessment of the opportunity to reduce spending for SNF services through steerage of patients to more cost-efficient SNFs.

The 2014 edition of our annual report on the commercial health insurance market provides an overview of financial results in the individual and group insurance markets as well as focuses on enrollment changes in the individual market and the impact of the Patient Protection and Affordable Care Act of 2010’s (ACA) risk adjustment and risk corridor programs.

This paper explores considerations for selecting metrics to use when evaluating provider performance, adjustments to performance metrics that help address limitations in available data, and how provider performance metrics may be used to help improve financial and other results.

Shared savings arrangements have become a more popular way to incentivize providers to improve the efficiency and quality of healthcare.

This report examines administrative expense categories for the large group, small group, and individual insured markets as reported in the Supplemental Health Care Exhibit.