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Webinar: Seven key challenges for Medicaid states considering alternative payment models28 February 2019 - By Rebecca L. Johnson and Anders Larson and Zach Hunt - Article
Pathways to Success MSSP final rule: Winners and losers14 February 2019 - By Anders Larson and Cory Gusland - Article

This paper examines the Medicare Shared Savings Program’s (MSSP) final rule from the perspective of different accountable care organization (ACO) situations to help readers understand how the MSSP rule might affect different ACOs.

Seven key challenges for Medicaid states considering alternative payment models29 January 2019 - By Anders Larson and Rebecca L. Johnson and Zach Hunt - Article

This article focuses on some of the challenges that Medicaid payers (including states and managed care organizations) face when trying to establish alternative payment models with providers.

Critical Point Episode 9: Shea and Anders talk blockchain (Part 2)18 January 2019 - By Anders Larson and Shea Parkes - Article

The second in a multi-part series, Shea Parkes and Anders Larson discuss hashing and public key cryptography and how the two concepts are critical to understanding the pros and cons of blockchain for insurance applications.

Critical Point podcast, Episode 3: Shea and Anders talk blockchain (Part 1)30 October 2018 - By Anders Larson and Shea Parkes - Article

The first in a multi-part series, this episode provides a simple introduction to blockchain and sets the scene for future episodes on how the technology could apply to insurance.

Pathways to Success: MSSP proposed rule: Assignment changes to identification of E&M Services in skilled nursing facilities19 October 2018 - By Anders Larson and Jill S. Herbold - Article

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

Pathways to Success: MSSP proposed rule: Winners and losers03 October 2018 - By Anders Larson and Cory Gusland - Article

All accountable care organizations (ACOs) will be affected by the Medicare Shared Savings Program if enacted, and the impact of the rule change will vary by ACO depending on its current situation and unique characteristics.

What predictive analytics can tell us about key drivers of MSSP results28 September 2017 - By Jill S. Herbold and Anders Larson and Cory Gusland - Article

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.

Performance of skilled nursing facilities for the Medicare population09 December 2016 - By Anders Larson and Jill S. Herbold - Article

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.

Benefits Perspectives: Introduction to shared savings arrangements and ACOs03 September 2015 - By Anders Larson and Paul R. Houchens - Article

This Benefits Perspective provides an introduction to accountable care organizations and shared savings arrangements for employers that sponsor self-funded group health plans.


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