Executive Briefings


What Contract Awards Got Executives’ Attention In 2016?

Executive Briefing | January 17, 2017
From Medicaid managed care services, to peer support, to services for adjudicated youth – in 2016, government agencies (federal, state, and local) have put out requests-for-proposals (RFPs) for more than $40 billion in health and human service-related services. And...

Medicaid Behavioral Health Carve-Outs – 11 Remain

Executive Briefing | January 16, 2017
The push for integrated care coordination as a cost containment strategy has been widespread (see Is Your Organization Ready To Be ‘The’ Care Coordinator?, The Coordination Of Benefits Issue: A Sticky Wicket For Some, and CCBHCs Are Moving Forward...

The Dollars & Sense Of Consumer Experience

Executive Briefing | January 14, 2017
Here is something I’ve long believed: consumer experience in heath care matters more than anyone suspects. Over the past five years, we’ve written about the need for payer and provider organizations executives alike to focus on creating new customer...

10 Management Insights Your Competitors Don’t Want You To Know

Executive Briefing | January 13, 2017
“My managers have change fatigue,” was a comment from a colleague that caught my attention during a recent meeting. While I don’t think the rate of change will slow in the next 24 months, I do think that we...

Social Risk & The ‘Value’ Of Health Care

Executive Briefing | January 12, 2017
There has been lots of talk – and lots of coverage – of the impact of social determinants of health (SDH) on health care costs. Our coverage on the topic has been some of the most-read OPEN MINDS Circle...

Digital Health – What Physicians & Consumers Want

Executive Briefing | January 11, 2017
Recently, the American Medical Association (AMA) announced a new set of principles that will guide its advocacy for coverage, payment, and financial incentives to support “the use of mHealth apps and associated devices, trackers and sensors by patients, physicians”...

Have ‘The Best’ Services, But No Health Plan Contracts?

Executive Briefing | January 10, 2017
In the past few weeks, many provider organization executives have expressed frustration that they have “great” services, but they can’t get reasonable contracts with health plans. In the same time period, health plan executives have talked to us about...

There Is No Plan B

Executive Briefing | January 9, 2017
I was having lunch last week with a colleague and he made a comment we can all relate to. He said, “My big takeaway from business school was that change is hard.” This comment, as well as the market...

The Impact Of Health Homes For Children

Executive Briefing | January 6, 2017
Last week, we reported on the New York State Department of Health (DOH) launch of health homes for children in the New York Medicaid plan (see New York Medicaid Launches Children’s Health Homes). This is a relatively rare development...

Fitting ‘Invisibles’ Into Your Tech Planning

Executive Briefing | January 5, 2017
Just before the New Year, the FDA approved a wireless glucometer for integration into a disease management platform (see FDA Clears Johnson & Johnson For Wireless Integration Between Blood Glucose Monitor & WellDoc Diabetes Management Platform). This is just...

State Budget Cuts Ahead? Be Deliberate In Your Preparation

Executive Briefing | January 4, 2017
It’s not like these headlines aren’t familiar. But now, due to a combination of factors ranging from stagnant economic conditions to continually slumping energy prices, more than half of all states are facing 2017 revenue shortfalls — some measured...

Value-Based Reimbursement & Obamacare – What Executives Were Reading About In 2016

Executive Briefing | December 29, 2016
Value-based reimbursement, Medicaid expansion, executive succession planning, the future of case management — no matter what framed your organization’s strategy discussions in 2016, we’ve covered it. What caught executives attention this year? The top OPEN MINDS Executive Briefings from...

LTSS Is Changing – Will It Affect Your Strategy?

Executive Briefing | December 20, 2016
With $282.9 billion in total spending annually and 9.3% of total U.S. health expenditures, changes in the long-term services and supports (LTSS) are having a big effect on the health care market (see What Is U.S. Spending On Long-Term...

Are Dual Eligibles Your Next Market Opportunity?

Executive Briefing | December 16, 2016
Last week, my colleague Monica E. Oss talked about why it is important to understand the dual eligible market and what you need to know for success (see New Market Factors Shape Success Serving The Dual Eligible Population). Her...

Medicaid Managed Care – Dominant Where It Exists

Executive Briefing | December 15, 2016
Here is a market picture for you to consider. Medicaid is the largest source of public health coverage in the United States – about 75 million Americans are enrolled in Medicaid. In addition, 68.8% of the Medicaid beneficiaries across...