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In California: 4 ‘perturbations’ in healthcare sector

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In this HealthAffairs podcast , Arnold Milstein, M.D., discusses important aspects of the California health-policy landscape. Milstein, a professor of medicine at Stanford University and medical director of the Pacific Business Group on Health, discusses four “perturbations” in the California healthcare market, as summarized below by HealthAffairs editors:

  • “Increased transparency, specifically at the level of the healthcare provider.
  • “Experiments in patient incentives—that go beyond incentives to choose less expensive plans or medications—in the form of narrow and tiered networks and reference pricing.
  • “Private Accountable Care initiatives led notably by Anthem and Blue Shield plans, reinforced by the Medicare Accountable Care Organization (ACO) program and California’s traditional robust managed-care market.
  • “Provider consolidation, propelled by hospital acquisition of or close affiliation with physician groups.”



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