Specifically for health plans, there is a lot of research, debate, planning and implementation in concepts such as
consumerism, population health management and payer-provider convergence. New players such as co-ops and ACOs
could be potent disruptors as...
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Specifically for health plans, there is a lot of research, debate, planning and implementation in concepts such as
consumerism, population health management and payer-provider convergence. New players such as co-ops and ACOs
could be potent disruptors as well. Each of these new challenges can be implemented with different goals and different
expectations in outcome for different organizations.
As organizations go about responding to the Affordable Care Act there is a mandatory and irreversible change in the
industry, not governed by the ACA anymore but by market forces, new healthcare models and new stakeholders. However,
change for healthcare payers is not predictable organizational change. It impacts the GDP all the way up and individual
behavior all the way down, both not in the control of any one organization or industry.
In other words, organizations are not in transformation towards an ideal state defined by regulatory and market forces.
The entire eco system is changing towards
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