Feature Articles


PRIMER: A Survey of State Medicaid Expansion 1115 Waivers

Feature Article | February 8, 2018
The Affordable Care Act (ACA) included provisions for the expansion of state Medicaid programs to individuals and families with incomes up to 138 percent of the Federal Poverty Level (FPL). In 2012, the Supreme Court ruled that the expansion...

‘Lean’ Management Not Working Well in Healthcare

Feature Article | February 8, 2018
A recent story in U.S. News & World Report described how a Seattle hospital is taking a systems approach in improving healthcare quality and cutting costs. It said, "Virginia Mason Health System ... has looked to adopt many of...

2018 Children & Youth Services Market Update

Feature Article | January 26, 2018
      In 2017, spending on the child and family services market was projected to reach $381.1 billion. This is a 12.5% increase from 2013 when spending was $338.6 billion. The child and family services market is comprised...

2018 U.S. Behavioral Health Market Update

Feature Article | January 26, 2018
    Behavioral health is defined as treatment services for mental health and addiction disorders, such as inpatient services, outpatient services, and medications. Annually, 18.5 million people receive behavioral health treatment, including treatment for mental illness and addiction. Services...

2018 Long-Term Services & Support Market Update

Feature Article | January 26, 2018
      In 2017, we estimate spending on long-term services and supports (LTSS) totaled $348.1 billion, an increase of 48% from 2008, when spending was $235.1 billion. Nine million consumers receive LTSS every year including the elderly, consumers...

2018 Social Services Market Update

Feature Article | January 26, 2018
      The social service market is comprised of a broad range of non-health care government programs (federal, state, and local) including temporary Assistance for Needy Families, Social Security Income, Pell grants; nutrition assistance—SNAP, school and child nutrition...

2018 Chronic Care Management Market Update

Feature Article | January 26, 2018
    Spending on chronic conditions is projected at $778.7 billion in 2017, down by 2.8% from 2012 when spending was $642.1 million. This spending represented 55.6% of total health care spending. Overall spending has increased 85% since 2002. Chronic...

There’s No Magic In Venture-Backed Home Care

Feature Article | January 23, 2018
In September, 2016 my family held funeral proceedings in Los Angeles to say goodbye to my grandmother, Flavor Bell Booker, who was only a few weeks away from her 99th birthday. Until that time, she was our first and...

The Next Phase Of Pay For Success: Driving Public Sector Outcomes

Feature Article | January 23, 2018
When we started Third Sector six years ago, my co-founders and I had a fundamental assumption: the increasing availability of data would empower government to allocate its resources to programs that measurably improve lives. We began by testing Pay for...

Is Social Security A Safety-Net Or A Stipend For Wealthy Seniors?

Feature Article | January 23, 2018
Most Americans look at Social Security as a safety-net. However, new research from the National Bureau of Economic Research however brings that assumption into question, showing that changes in life expectancy have meant that benefits have fallen disproportionately to...

For Addiction Services, Consider Your Treatment Tech

Feature Article | January 11, 2018
Developing a strategy for treatment technologies is strategic work that, just 10 years ago, few executives would have guessed would take up so much of their time. And it’s hard work—it’s complicated (there are myriad new clinical tech offerings...

5 Tech Best Practices

Feature Article | January 11, 2018
In recent years, we have seen health care oriented technology—for services, administration, and data use—stand out as one of the key leadership challenges for health and human service organization executive teams. Building a viable strategic plan—and having the tools...

Challenges In Health System Information Exchange

Feature Article | January 11, 2018
Health care information exchange—there is so much in health care riding on the ability to exchange data by organizations at all points the value-chain. Yet many provider organization executive teams are still unaware of just how important the sharing...

Technology Innovations & Payer Expectations

Feature Article | January 11, 2018
Executive teams that think they can dodge the coming reliance on technology are strategically mistaken and do not understand either payer expectations, or the market influences driving those expectations. What tech functions do service provider organizations need, to move...

The Essential Tech List For Value-Based Purchasing

Feature Article | January 11, 2018
Over the past few years, the federal Centers for Medicare and Medicaid Services (CMS) has not so quietly been in the process of increasing its commitment to alternate payment models (APMs)—and we’ve taken an in-depth look at those models...

From Big Data, To Smart Data, To Managing With Data

Feature Article | January 11, 2018
Executives today need to understand a lot of things, none of which are quite as important as making sure that their organization can meet the demands of new payment model. And key to that competency is understanding how to...

Why ‘Uncertainty’ Is 2017’s Biggest Story

Feature Article | December 15, 2017
Looking back on 2017, what should executive teams identify as “the trends” that not only shaped the market as we know it, but will invariably play an oversized roll in 2018? Clearly, anyone involved in health and human services...

Why ‘Total Health Care’ For Individuals Is 2017’s Biggest Story

Feature Article | December 15, 2017
The biggest trend of 2017 is far from new, but the continued industry movement for providing “total health care” for individuals—including integration, community-based care, and long-term services and supports (LTSS)—as one of the prime industry stories of the year....