“Knowledge , intelligence, diligence, good humor and integrity each provide an insight to Jeff’s strategic and tactical solutions methods to immediate and long-range complex problems.”
Activity
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Building upon the success of the IPA of NY, now the largest IPA for independent physicians in NY, we have launched IPA's to help independent…
Building upon the success of the IPA of NY, now the largest IPA for independent physicians in NY, we have launched IPA's to help independent…
Liked by Jeffrey Hogan
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"Sometimes the best option is no medication and no procedure...Time and understanding are often the real treatment." —Joseph Rotella MD, DC
"Sometimes the best option is no medication and no procedure...Time and understanding are often the real treatment." —Joseph Rotella MD, DC
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Literally pattern of behavior for this office. Gross negligence. Healthcare costs continue to be out of control in Connecticut and taxpayers…
Literally pattern of behavior for this office. Gross negligence. Healthcare costs continue to be out of control in Connecticut and taxpayers…
Shared by Jeffrey Hogan
Organizations
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Capital RX
Advisor
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Diathrive
Advisor
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Emsana Health
Advisor
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Hashed Health
Advisor
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Moving to Value Alliance
Executive Board
MTVA is a multi-stakeholder grassroots community whose mission is to create a value-based healthcare ecosystem with the highest quality outcomes at a reasonable cost.
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Subpop
Advisor
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Upswing Health
Advisor
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Wellinks
Advisor
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THE GREAT OZ HAS SPOKEN!! The airline and weather combined to keep Chris Deacon away from the Houston Business Coalition on Health (HBCH) multi day…
THE GREAT OZ HAS SPOKEN!! The airline and weather combined to keep Chris Deacon away from the Houston Business Coalition on Health (HBCH) multi day…
Liked by Jeffrey Hogan
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NEW: Mark Cuban and Humana are working together on a potential pharmacy partnership, Cuban and Humana's CEO said today at the Forbes health care…
NEW: Mark Cuban and Humana are working together on a potential pharmacy partnership, Cuban and Humana's CEO said today at the Forbes health care…
Liked by Jeffrey Hogan
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I'm encouraged to see USA TODAY spotlighting an issue that touches the lives of millions: the growing strain on family caregivers and the urgent need…
I'm encouraged to see USA TODAY spotlighting an issue that touches the lives of millions: the growing strain on family caregivers and the urgent need…
Liked by Jeffrey Hogan
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I spent 2 decades shaping health policy in the Senate & the White House. Then my body fell apart. My kids fell apart. My sister died of cancer. So I…
I spent 2 decades shaping health policy in the Senate & the White House. Then my body fell apart. My kids fell apart. My sister died of cancer. So I…
Liked by Jeffrey Hogan
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If you’ve ever wondered why CVS keeps showing up as the “best option” in every renewal conversation, look at the incentive structure...💰(well, you…
If you’ve ever wondered why CVS keeps showing up as the “best option” in every renewal conversation, look at the incentive structure...💰(well, you…
Liked by Jeffrey Hogan
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How long are we all supposed to pretend to be surprised. UPMC “improves underwriting margins” and swings from a loss to a $45.6M operating…
How long are we all supposed to pretend to be surprised. UPMC “improves underwriting margins” and swings from a loss to a $45.6M operating…
Liked by Jeffrey Hogan
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In just two weeks, I'll be speaking at PBM Contracting Summit 2025. Join for me for a Fireside Chat: Digital Health Disruption and the PBM Model…
In just two weeks, I'll be speaking at PBM Contracting Summit 2025. Join for me for a Fireside Chat: Digital Health Disruption and the PBM Model…
Liked by Jeffrey Hogan
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We want to extend a big "thank you" to National Alliance of Healthcare Purchaser Coalitions for hosting Dr. Sunil Budhrani MD MPH MBA to speak at…
We want to extend a big "thank you" to National Alliance of Healthcare Purchaser Coalitions for hosting Dr. Sunil Budhrani MD MPH MBA to speak at…
Liked by Jeffrey Hogan
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Eric Bricker, MD
Health Insurance Carrier Lines of Business: Do They Want Healthcare Costs Up or Down? It Depends. Health insurance carriers have multiple lines of business. Whether or not the health insurance company wants healthcare costs to go up or down for a member depends on the line of business. For some lines of business, the health insurance carrier makes more money when healthcare costs go up. For other lines of business, the health insurance company makes more money when healthcare costs go down. Lines of Business: 1) Self-Funded Employer-Sponsored Health Plans: Want healthcare costs to go up. 2) Fully-Insured Health Plans: Want healthcare costs to go up. 3) Medicare Advantage: Want healthcare costs to go down. 4) Medicaid Managed Care: Want healthcare costs to go down. 5) Affordable Care Act (ACA) Plans: Want healthcare costs to go down. 6) Medicare Part D Prescription Plans: Want Healthcare costs to go down. Corollary: Health insurance carriers are incentivized to have stricter Prior Authorization to control healthcare costs for lines of business where they want healthcare costs to go down... i.e. Medicare Advantage, Medicaid Managed Care, ACA and Medicare Part D plans. Sources at AHealthcareZ YouTube Channel. #Healthcare #HealthInsurance #EmployeeBenefits #Medicare #Medicaid #MedicareAdvantage
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Leah Sparks
One of the biggest challenges we hear from providers related to VBC models in commercial insurance is the fact that "every health plan does their own model", meaning that providers are solving for different metrics and quality targets depending on health plan. As a result, providers struggle to create consistent, scaled care transformation strategies across their patient population. This approach that aligns three large health plans in California in a single VBC model, apparently brokered by Purchaser Business Group on Health (PBGH), is a good step towards combating that problem.
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Mike Bradshaw
Empowering Clinicians with Present Interoperability vs. the Promise of AI Today, we are witnessing real, tangible solutions that enhance our ability to deliver care through payer to provider interoperability… …accessing your patient’s medical history, surfacing care gaps, inferred conditions and treatment plans instantly, regardless of where they receive care. This is the reality we’re striving to see more fully realized—a connected healthcare ecosystem that empowers clinicans to make informed decisions quickly, accurately, and efficiently. While the buzz around artificial intelligence continues to grow, often highlighting potential future capabilities, it’s important to recognize the incredible advancements interoperability is driving right now. By embracing interoperability today, we can: - Enhance Patient Care: Timely access to comprehensive patient data leads to better clinical decisions and improved outcomes. - Reduce Administrative Burden: Streamlined processes free up precious time, allowing us to focus on what we do best—caring for our patients. - Foster Collaboration: A connected healthcare ecosystem promotes teamwork, ensuring that all providers are on the same page. This was the conversation I had dozens of times with providers last week. Some agreed while others offered me insight to where I was wrong sharing ambient note taking and predictive analytic models as examples of where AI is emerging. What are your thoughts on the current state of interoperability in your practice, and how do you see it contrasting with the promises of AI? #HealthcareInteroperability #PatientCare #FutureOfHealthcare
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