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Health Care Delivery Covered Lives – Summary of Findings

www.hks.harvard.edu/m-rcbg/hcdp/numbers/Covered Lives Summary.pdf

health care industry consultants and analysts (Interstudy, Verispan, Merrill ... The US government does not require private health insurers to submit their enrollment figures ... Verispan, LLC conducted mail and telephone surveys with the various plans, ... 63 In 2003, Aetna covered approximately 13 million medical members.

Whither Antitrust? The Uncertain Future Of Competition Law In ...


Although instrumental in ushering in competition to the health care industry and later in .... For example, in Federal Trade Commission and State of Missouri v. ..... Although the American Medical Association (AMA) has endorsed collective ..... for Managed Care Mergers: An Antitrust Analysis of the Aetna/Prudential Merger,” ...

The Growing Case for Using Physician Incentives - AcademyHealth


Bailit Health Purchasing, LLC. Sixth Man Consulting ... to improve health care quality by advancing the purchasing practices of major ... Plans and senior manager with a leading health care consulting firm. A graduate of ... Though some pioneering leaders, such as Aetna U.S. Healthcare, ..... In the future, the quality council ...

Axene Health Partners, LLC Opens Pittsburgh, PA Office


Jan 4, 2016 ... Axene Health Partners, LLC (AHP) is an independent consulting firm headquartered in Murrieta, CA. AHP works primarily with health care systems, hospital systems, ... with Aetna and Coventry specializing in both Medical Economics .... in the future,” said David V. Axene, a health actuary in Murrieta, Calif.

The road to value-based care | Deloitte University Press


Mar 20, 2015 ... The shift by US health care organizations toward VBC is a lot like taking a road ... Aetna dedicated 15 percent of its 2013 spending to VBC efforts and .... participate successfully in the future and may gain increased market share, .... Global Leader for the Health Care Providers Practice, including consulting, .....

health care's “thirty years war” - Medical and Public Health Law Site


Jun 4, 2004 ... ... all health care in the United States, argue that traditional fee-for-service medicine ... Medical Director, Third Millennium Consultants, LLC, Shawnee, Kansas ..... tions, the avoidance of future medical treatment, and hence costs, .... Danca v. Private Health Care Systems, Inc. 185 F.3d 1, 1–6 (1st Cir. 1999).

Managed Care Liability - Medical and Public Health Law Site


Care Liability for Breach of Fiduciary Duty after Pegram v. ... Third Millennium Consultants, LLC., Shawnee, Ks. The authors thank Professors Nancy Levit and ... Aetna, which was upgraded by Salomon Smith Barney on Monday, rose 31/4 to .... system pushed health care costs to prohibitive levels for American businesses.

Private exchanges Wolf at the health plan's door? - Deloitte


group health care benefits space might be at hand.1 In addition, numerous ... Private exchanges allow consultants/brokers to reinsert themselves as the key ...

Practical Tips for Settling Cases with Medicare Part C Enrollees ...


Apr 16, 2013 ... Traditional Medicare made conditional payments for all care in 2008, 2009 and 2010. Thus this ... [iii] See Nott v. Aetna U.S. Healthcare, Inc., 303 F. Supp. ... 30, 2012); and Parra v. ... Rawlings Co., LLC, 2012 U.S. Dist. ... Future Medical Allocation Services · MSP Consulting & Mandatory Insurer Reporting...

Visions For The Future - Society of Actuaries


VISIONS FOR THE FUTURE Of The U.S. Health Care System ..... David V. Axene, FSA, MAAA, FCA, is president of Axene Health Partners, LLC, in Winchester, ...

Helpful Resources

Aetna to acquire Humana - Aetna News, Analysis


Aetna to acquire Humana, combined entity to drive consumer-focused, high- value health care ... Strengthens ability to lead effort to transform health care delivery to a more ... and the second-largest managed care company in the United States. .... Coventry, bswift LLC and other businesses Aetna may acquire in the future) ...

Aetna to Acquire Coventry Health Care, Inc. -- Aetna


Aetna announced it has entered into a definitive agreement to acquire Coventry Health ... to acquire Coventry Health Care, Inc. Coventry is a diversified managed health care .... of health care reform legislation and changes in Aetna's future cash ... In addition, pending efforts in the U.S. Congress to repeal, amend, or restrict ...

MHA, LLC v. Aetna Health, Inc. et al. - Crowell & Moring


plan participants and beneficiaries who received health care services at .... Wayne Surgical Ctr., LLC v. Concentra Preferred Sys., No. 06-928, 2007 U.S. Dist .

Aetna to Acquire Humana – For Medical Providers


Important risk factors could cause actual future results and other future events to differ .... that strengthen this critical relationship and move us toward a health care system that ... Our digital solutions will help health care providers improve care while ... Humana has 54 percent of the individuals they serve in accountable care  ...

Expanded Managed Care Liability - United States Department of ...


should consider the implications for the health care system. by David M. Studdert, William M. .... organized labor, benefits consultants, external counsel, academics, ... sion in Pilot Life Insurance Co. v. Dedeaux made ..... Aetna U.S.. Healthcare in ...... J.C. Robinson, “The Future of Managed Care Organization,” Health Affairs.