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Welcome to the MCOL Blog

Please join the discussion with our panel of experts, as we cover a wide range of important topics shaping the business and future of health care.


Ten Things to Know From the NBGH Employer Survey 

By Clive Riddle, August 16, 2019

The National Business Group on Health has released their annual study - The 2020 Large Employers' Health Care Strategy and Plan Design Survey, which found “employers project the total cost of health benefits will rise 5% in 2020, taking cost management initiatives into account. That increase is identical to 2019’s projected increase - but actual costs are coming in lower. Large employers reported the actual increase in 2018 was 3.6%.”......continued


The Latest on Physician Burnout

By Clive Riddle, August 9, 2019

InCrowd has just released their 16-page 2019 Physician Burnout Survey report - a follow-up to their 2016 burnout research, asking their participating physicians how they’re coping with job-related stress. They found “sixty-eight percent of US-based physicians surveyed reported experiencing burnout at some level,” and that “primary care physicians (PCPs) report higher burnout rates than specialists, with 79% of PCPs personally experiencing burnout compared with 57% of specialists. And, more than a third of InCrowd physicians surveyed said they would not recommend their profession to a young family member.”......continued


Two Papers on the Health Plan Medicare Opportunity

By Clive Riddle, August 2, 2019

Oracle has released an Executive Insight paper on the Opportunity Ahead for Agile and Efficient Medicare Advantage Plans,  cautioning that “While the opportunity is great, MA plans are not automatically a wise or profitable business decision for all health insurers. There is growing competition as new players enter the market, and cost and margin pressures continue unabated. To make the most of this opportunity, MA plans must look to accelerate innovation while optimizing costs across their enterprises— from marketing and enrollment to plan configuration, claims processing, compliance, and renewal.”.....Click to continue


Four Questions for Erin Benson and Courtney Timmons with LexisNexis Health Care: Post-Webinar Interview 

By Claire Thayer, July 25, 2019

Erin Benson, Director Market Planning and Courtney Timmons, Market Planning Specialist, LexisNexis Health Care, participated in a Healthcare Web Summit webinar discussion on ways for health plans to reduce the risk of a data breach, the necessary steps to validate and verify member information, and ingredients for a strong multi-factor authentication strategy.  If you missed this engaging webinar presentation, you’ll want to be sure to watch the Webinar Video. After the webinar, we interviewed Erin and Courtney on four key takeaways: ........Click to continue


Overconfident Healthcare Organizations?  Could Be According to Healthcare Cybersecurity Survey 

By Clive Riddle, July 19, 2019

LexisNexis Risk Solutions in collaboration with Information Security Media Group has released results from their recent survey of hospitals, medical groups and payers, in their new 18-page report The State of Patient Identity Management, which found 50% are confident they have the necessary controls in place to prevent unauthorized access to patient information, 58% believe their portal cybersecurity is above average (and only 6% feel they are below average), yet 35% don’t deploy multifactor authentication: ........Click to continue 


Speaker Panel Answers My Accreditation Questions

By Claire Thayer, July 15, 2019

In June, Iris J. Lundy of Sentara Healthcare, Lorie Gillette and Dr. Robert C. Pendleton of the University of Utah Health, Lori Flies of Houston Methodist, and Patrick Horine, Chief Executive Officer at DNV GL Healthcare participated in a Healthcare Web Summit webinar discussion on how accreditation can be a catalyst for improvement in care quality, patient outcomes and overall operational efficiency. If you missed this lively presentation, you'll want to be sure to watch the Webinar Video. After the webinar, we interviewed our speakers on four key takeaways: ........Click to continue 


Friday Five: Top 5 healthcare business news items from the MCOL Weekend

By Claire Thayer, July 12, 2019

Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week:........Click to continue


Our Dunning-Kruger Healthcare System

By Kim Bellard, July 11, 2019

Psychologist David Dunning, originator of the eponymous Dunning-Kruger effect, recently gave an interview to Vox’s Brian Resnick. For those of you not familiar with the Dunning-Kruger effect, it refers to the cognitive bias that leads people to overestimate their knowledge or expertise. More importantly, those with low knowledge/ability are mostlikely to overestimate it.........Click to continue


Friday Five: Top 5 healthcare business news items from the MCOL Weekend

By Claire Thayer

Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week:........Click to continue


Growing where you are already planted

Kristin Rodriguez, Health Plan Alliance, June 24, 2019

Dan Michelson, CEO of Strata Decision believes integrated delivery systems need to shift their focus from buying and building hospitals to leveraging their existing platforms to generate growth and often more profitable........Click to continue


Ten Takeaways From PwC’s Medical Cost Trend Behind The Numbers 2020

By Clive Riddle, June 21, 2019

PwC's Health Research Institute has just released their 14th annual report on medical cost trends:  Medical cost trend: Behind the numbers 2020, which projects the 2020 trend to be a six percent cost increase. As PwC's HRI describes their 47-page report........Click to continue


Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition

By Claire Thayer, June 21, 2019

Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week........Click to continue  


Analyzing Blue Cross Blue Shield Plan Administrative Costs

By Clive Riddle, June 13, 2019

Sherlock Company in the June issue of their Plan Management Navigator examines administrative cost trends for Blue Cross Blue Shield Plans, analyzing year end 2018 vs 2017 data.  They found that costs “increased by 5.5% per member, up from an increase of 5.1% for 2017........Click to continue


Consumer Surveys on SDOH Experiences: Kaiser, McKinsey and Waystar

By Clive Riddle, June 7, 2019

Kaiser Permanente has just released results of consumer SDOH survey they commissioned entitled Social Needs in America, which found “68% of Americans surveyed reported they experienced at least one unmet social need in the past year. ......Click to continue 


Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition

By CLaire Thayer, June 7, 2019

Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week:.......Click to continue


ACA Exchange 2020 Final Rule Changes and Survey of Exchange Health Plan Participation and Expectations

By Clive Riddle, May 31, 2019

Last month CMS issued their final rule with ACA benefit and payment parameters for 2020. Their changes for 2020 included .......Click to continue


Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition

By Claire Thayer, May 31, 2019

Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week: .......Click to continue


Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition

By Claire Thayer, May 24, 2019


Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week:........Click to continue


The Health Tech Our Toddlers Should Never Know

By Kim Bellard, May 23, 2019


Joanna Stern wrote a fun article for The Wall Street Journal: "The Tech My Toddler Will Never Know: Six Gadgets Headed for the Graveyard."  My immediate thought was about health tech's equivalent list.  There certainly is a lot of health tech that should be headed to the graveyard, but, knowing healthcare's propensity to hang on to its technology way too long, I had to modify her more optimistic headline to say "should" instead of "will." ........Click to continue


The Short List of Major Healthcare Implications from A Declining Birth Rate

By Clive Riddle, May 17, 2019


Like most of the industrialized world. the U.S. birth rate is declining, as evidenced in the new CDC National Center for Health Statistics National Vital Statistics System May 2019 report on "Births: Provisional Data for 2018."  (the final birth report is scheduled to come out this fall.) The big news from the report is the number of births was the lowest in 32 years, and the fertility rate reached another record low.:........Click to continue


Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition

By Claire Thayer, May 17, 2019

Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week:........Click to continue


Consumer Insights and Kaiser Initiative on SDOH

By Clive Riddle, May 10, 2019


McKinsey has just published various insights from their 2019 Consumer Social Determinants of Health Survey, which found that compared to those whose social need is met, respondents (2,010 surveyed with government program coverage or uninsured and below 250% of federal poverty level) that:.........Click to continue


CBO: Coverage by Oration

By Clive Riddle, May 3, 2019


The Congressional Budget Office has been quite busy as of late, preparing reports that can serve as reference resources in response to Orators residing in Congress, the White House and the campaign trail, that are espousing healthcare coverage policy proposals, whether those proposals being orated involve Medicare for All, Medicare for Some, Death to the ACA, or other such schemes..........Click to continue


Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition

By Claire Thayer, May 3, 2019

 

Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week: ........Click to continue


Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition

By Claire Thayer, April 26, 2019

 

Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week: ........Click to continue


Robots Need DNA Too

By Kim Bellard, April 25, 2019

 

DNA, it seems, never ceases to amaze. Now scientists are using it to create new kinds of "lifelike" mechanisms.   Pandora, we may have found your box. ........Click to continue


Five Sterile Processing Questions for Stephen Cuthbertson, College Medical Center and Jeremy Gibson-Roark, DNV GL Healthcare: Post-Webinar Interview

By Claire Thayer, April 18, 2019


Recently, Stephen Cuthbertson, Executive Director of Risk Management, Customer Service, Performance Improvement, Regulatory Compliance & Case Management of College Medical Center in Long Beach California, and Jeremy Gibson-Roark, a lead clinical and certification surveyor with DNV GL Healthcare, participated in a Healthcare Web Summit discussion on sterile processing. ........Click to continue


CVS Caremark PBM Releases Its Own Report Card and Gives Itself A’s

by Clive Riddle, April 12, 2019


CVS Health’s Caremark PBM has just released their annual Drug Trend Report, and tells is that they “blunted the impact of drug price inflation achieving a negative -4.2 percent price growth for non-specialty drugs and a 1.7 percent price growth for specialty drugs. Furthermore, 44 percent of CVS Caremark's commercial PBM clients saw their net prescription drug prices decline from 2017 to 2018.”........Click to continue


Got $285k for Healthcare Costs in Your Retirement Years?

By Clive Riddle, April 5, 2019


West Health and Gallup this week released a 44-page report: The U.S. Healthcare Cost Crisis, with survey results that addressed “the impact of the high cost of healthcare on personal finances, individual healthcare choices and the level of satisfaction with the U.S. healthcare system.”.........Click to continue


Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition

By Claire Thayer, April 5, 2019


Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week:........Click to continue


Five Questions for Change Healthcare's Chris Simpkins and Dr. Andrei Gonzales

By Claire Thayer, March 29, 2019


Recently, Change Healthcare’s Chris Simpkins, Vice President Value Based Analytics and Dr. Andrei Gonzales, Assistant Vice President, VBR Product Management, participated in a Healthcare Web Summit webinar and shared some of the many ways in which episode analytics can be used by Managed Medicaid plans to drive improved care quality and lower total costs of care........Click to continue

 


Cigna Study: More Stressed + Less Rested + Less Family & Friends Time = America

By Clive Riddle, March 29, 2019 


Cigna has released their 2019 360 Well Being Survey: Well and Beyond, a 15-page report “that explores perceptions of well-being across five key indicators – physical, family, social, financial and work – in 22 countries, including the United States.” Their findings indicate applicable measure for the U.S. are all getting worse – not better. Jose Quesada, Cigna’s Chief Medical Officer, International Markets tells us “we’re seeing high incidences of stress, poor sleep quality and less time connecting with loved ones, which all can have a profound impact on one’s physical health.”.........Click to continue


Healthcare Incumbents: Watch Your Sides as Well As Your Back For Disruptions

By Clive Riddle, March 22, 2019 


Reuters reports that “United Parcel Service Inc wants to get beyond U.S. doorsteps with a new push into healthcare.” They tell us “the world’s largest package delivery firm is preparing to test a U.S. service that dispatches nurses to vaccinate adults in their homes, Reuters has learned, as the company and its healthcare clients work to fend off cost pressures and competitive threats from Amazon.com.".........Click to continue


An Innovative Acquisition for HCA

by Clive Riddle, March 15, 2019

 

Nashville-based HCA Healthcare has just announced that HCA will become the majority owner of the parent company of Galen College of Nursing, one of the largest educators of nurses in the nation.  HCA, of course, is one of the nation’s leading providers of healthcare services, comprising 185 hospitals and approximately 1,800 sites of care.........Click to continue


We’re #1! Healthcare Leads the Way in Travel and Wait Times

by Clive Riddle, March 8, 2019

 

Altarum recently released a six page report: Travel and Wait Times are Longest for Health Care Services and Result in an Annual Opportunity Cost of $89 Billion” which compiled data for the Bureau of Labor Statistics’ American Time Use Survey. Their study found “waiting times for health care services in particular were much higher than the other service categories, over twice the length of the next closest, veterinary services.”.........Click to continue


Four Questions for Aaron Fulner, Senior Director, Product Marketing, Edifecs, Post-Webinar Interview

By Claire Thayer, March 8, 2019

Recently, Aaron Fulner, Senior Director, Product Marketing with Edifecs, participated in a Healthcare Web Summit webinar discussion that illustrates how health plans participating in government-sponsored programs, such as Medicare Advantage, can take off the blindfold and improve risk-adjusted revenue accuracy as well as value-based program performance. If you missed this informative webinar presentation, “No More Blindfolds: Improving Value-Based Outcomes and Optimizing Revenue,” we invite you to watch the On-Demand version here.........Click to continue


Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition

By Claire Thayer, March 1, 2019

Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week:........Click to continue


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MCOLBlog Team

Kim Bellard
KB Consulting
Columbus, OH

Krista Burris
Healthcare Strategy Consultant
San Francisco Bay Area

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William DeMarco
President
DeMarco and Associates
Rockford, IL

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Sandhya Gardner, M.D.
Chief Medical Officer
RELIAS

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Laurie Gelb
Vice President
ORC International
Seattle, WA

Dan Juberg
Vice President, West
Lumeris
Los Angeles, CA

Nate Kaufman
Managing Director
Kaufman Strategic Advisors
San Diego, CA

Cyndy Nayer
Founder and CEO
Cyndy Nayer's Center of Health Engagement
CyndyNayer.com

Lindsay Resnick
Chief Marketing Officer
KBM Group: Health Services

Clive Riddle
President
MCOL
Modesto, CA

Marshall Riddle
Senior Analyst
MCOL
Modesto, CA

Claire Thayer
Vice President
Business Development
MCOL
Portland, OR

Tomas Gregorio
Senior Executive Director
Healthcare Systems Innovation NJII, NJ