Payers

Massachusetts Experience: Employer-sponsored health insurance post-reform

 

What lessons can we learn from? Massachusetts universal healthcare legislation Learn more

Massachusetts Experience

Scoring healthcare: Navigating customer experience ratings

PwC's insights on the impact of the ratings culture on healthcare
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Scoring healthcare: Navigating customer experience ratings

Solving the talent equation for health IT

 

How to address the workforce shortage in H.I.T.
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Solving the talent equation for health IT

Contact

Mike Galper - US healthcare payer - leader - PwC Mike Galper
US healthcare payer leader
+1 (213) 217 3301
Vaughn Kauffman - Payer contact - PwC Vaughn Kauffman
US healthcare payer advisory leader
+1 (216) 363 5817

The business impact of new delivery models for health insurers

New delivery methods for primary care and greater price transparency are cited as some of the forces helping to slow the rise in medical cost trends where as an uptick in patient utilization may occur with a strengthening economy according to the Health Research Institute's annual report, Medical Cost Trend 2013. As health insurers plan for the coming year, it will be critical to be able to respond to these business challenges.

Read more about the business challenges and opportunities we see in the coming year in these recent reports and briefs published by PwC and our Health Research Institute. Clinical informatics (and the report summary: Key findings for Health Insurers), Social media "likes" healthcare as well as our Health Insurance Exchanges report.

New delivery models: Dr. Nirav Shah, MD, MPH, Commissioner, New York State Dept. of Health addresses the impact of new delivery models

Our featured thinking

The Massachusetts Experience employer sponsored health insurance post reform

As implementation of the Affordable Care Act presses forward, questions remain about its impact on employers. The 2006 Massachusetts universal healthcare legislation provides a guidepost for employers considering a path forward and offers lessons learned.

Massachusetts Experience

Scoring healthcare: Navigating customer experience ratings

The ratings culture in the US has exploded in the last decade with consumers turning to reviews for dining, shopping, vacationing, and even home improvements. Now, as they spend more of their own money on health and wellness, consumers are beginning to search for rating systems to guide their decision making.

Scoring healthcare: Navigating customer experience ratings

US Healthcare M&A insights

The US healthcare industry experienced a variety of transformative pressures in 2012. Payers and provider organizations entered 2012 seeking resolution on the ultimate components of healthcare reform. The industry remains on uncertain footing with potential budget cuts in 2013 and beyond.

US Healthcare M&A insights

Solving the talent equation for health IT

The healthcare industry is projected to experience a shortage in qualified information technology (IT) talent at a time when Health IT, or HIT, is increasingly critical to meeting business needs, consumer expectations, and regulatory requirements while capitalizing on new growth prospects.

Solving the talent equation for health IT

Health reform re-elected: ACA implementation in tough fiscal times

PwC's Health Research Institute shares their analysis of the impact of the 2012 elections

Health reform re-elected: ACA implementation in tough fiscal times

Customer experience in health care: The moment of truth

A better understanding of what customers want, need and value gives organizations a competitive advantage. PwC’s customer experience and radar report shares insights into the minds of real consumers.

Customer experience in health care: The moment of truth