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What Health Plans Can Expect in 2011



It was just last month we reported that health insurers were living the good life with strong balance sheets. That's likely to change soon, however, as certain healthcare reforms kick in.

1 comments on "What Health Plans Can Expect in 2011"
bob (12/30/2010 at 9:58 AM)

Another likely direction for individual health insurers: compete to be the sole source of "reimbursement" in the marketplace for individual hospitals, group practices and health systems, taking over the entire collection function, and guaranteeing payment for all budgeted expenses, based on negotiating the management of a collaborative budget. A disciplined, collaborative approach to healthcare reform with [INVALID]ed providers is the key to the future of insurers and prepayment agencies. Payment to providers based on a negotiated budget, rather than on services to individual patients, as in the VA, is the way of the future. The provider's [INVALID]ed insurer will, of course, collect money from other third party payers and individuals, on the basis of services to individual patients , but the provider need not be involved, greatly simplifying the collection problems.