Cooperating for better care.

Wisconsin

Tag Archives

Why hospital-run insurance is big in Wis.

welcometowis

A look at  the demographic,  economic, cultural and historical reasons that hospital-run health-insurance plans are big in Wisconsin.

Modern Healthcare reports: “In the past few years, health systems have been eagerly launching or growing their own health plans, seeing it as an opportunity to cut out the middleman and take on more direct financial risk while caring for patients.

“In Wisconsin, providers have practiced that strategy for decades. And, according to Medicare and the National Committee for Quality Assurance, they’re among the highest-rated in the country.

“The Badger State ultimately could serve as a prototype for health systems that are trying to shift their focus away from filling hospital beds and toward more risk-based care coordination.

“Insurers have put risk down to providers,” Gunjan Khanna, a partner in the healthcare practice at McKinsey & Co.,  told Modern Healthcare.

“At what point do providers start to have their own entity to manage the risk and have control?” Wisconsin has done that well, he told the magazine.


Gov. Walker proposes huge long-term care changes

 

The Milwaukee Journal Sentinel reports that the proposed budget of Wisconsin Governor and possible  GOP presidential candidate Scott Walker includes a ”massive overhaul of the system that provides long-term care to more than 50,000 elderly or disabled people in Wisconsin — a dramatic change that blindsided those currently managing the care.’

“The proposal, which would affect more than $2 billion a year in spending, would replace a system built over several decades with a new model in which the state would contract with large insurance companies to manage both long-term care and medical care,” the paper reported.

“No one had any inkling this was happening,”  Michael Blumenfeld, a spokesman for the Wisconsin Family Care Association, told the paper. “We are just scratching our heads. Why would you do this?”

”The governor’s proposal, he said, is the most significant change in long-term care in the state in 20 years.”


Contact Info

info@cmg625.com

(617) 230-4965

Wellesley, Mass