Healthcare Reform: Employers and Narrow Networks Could Drive Cost-Effective Patient Outcomes
Employers and Medicare trustees could come together and change the healthcare industry, leading to healthcare reform, according to Luke Hansen, M.D., M.H.S., and chief medical officer of Arcadia, a healthcare data analytics company.
Luke Hansen, M.D., M.H.S., chief medical officer of Arcadia, a healthcare data analytics company, said that healthcare reform won’t be easy, specifically when it comes to stronger incentives for value-based care.
Luke Hansen, M.D., M.H.S.
“There are many people in their 40s, 50s, 60s—commercially insured with chronic disease—and their employers are holding the bag, and their employers have a fiduciary responsibility to manage those lives optimally,” Hansen said. “I don't think that we've totally taken advantage of that opportunity. If a large enough cohort of employers came together, they could move the industry, and they could by delegating through narrow networks to high performance provider organizations.”
He continued by explaining that change requires risk.
“You have to be willing to take some risks with constituencies,” Hansen said during a video interview with Managed Healthcare Executive. “I think it starts with attribution and responsibility for cost, which isn’t present in the majority of people administering healthcare.”
Conversations With Perry and Friends
April 14th 2025Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. His guest this episode is John Baackes, the former CEO of L.A. Care Health Plan.
Listen
Why Better Data and Awareness Matters for Medicaid Work Requirements
April 17th 2025With policymakers considering work requirements for Medicaid eligibility, Jennifer Haley, principal research associate in the Health Policy Division at the Urban Institute, said it’s more important than ever to understand how those changes could unintentionally cause harm, particularly when data systems fall short and public awareness is limited.
Read More
Breaking Down Health Plans, HSAs, AI With Paul Fronstin of EBRI
November 19th 2024Featured in this latest episode of Tuning In to the C-Suite podcast is Paul Fronstin, director of health benefits research at EBRI, who shed light on the evolving landscape of health benefits with editors of Managed Healthcare Executive.
Listen
Medicaid Expansion Linked To Timelier Lung Cancer Surgery and Access to High-Volume Hospitals
April 17th 2025New research shows that Medicaid expansion was linked to a 2.1% increase in timely lung cancer surgeries and a 2.8% rise in procedures at high-volume hospitals, highlighting how policy changes can impact cancer care access.
Read More
