System Transformation Intensifies Demand for Evidence: The Trust Conundrum

Health Affairs: 9/10/13

Although we have witnessed historic lows in the rate of growth of healthcare spending, the implementation of the Affordable Care Act and secular trends have created fundamentally new dynamics in how providers, clinicians, and patients are exposed to the cost of care.  New payment and delivery models being tested by the Center for Medicare & Medicaid Innovation are shifting the financial risk for managing population health to providers and clinicians.  In addition, state health insurance exchanges are poised to introduce new insurance products targeted to meet the needs of price-sensitive consumers.  In Silver Plans, designed to have lower premiums, the out-of-pocket payments for brand named pharmaceuticals could be $70 per prescription. Read more