Do you have a sense of the relative size of the new network compared to, say, the exchange average in their rating areas?
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I don't - but that is a good question!
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odd risk adjustment play as narrow networks = healthy pop but expensive premiums = sick population
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but narrow networks also = concentration of RA resources and building RA incentives into contracts
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they are going to ping PCP when mbr goes to ER (to get RA dx coded)
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It helps a bit on RA but not particularly innovative -- at least three vendors have ADT pingers on mkt
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I'm being a bit mocking of their claims to innovativeness
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next they will say their setting up ACOs!
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Trouble in health insurance land; too much market power for hospitals? http://bit.ly/2abOkX9
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@Cutler_econ trouble 4@OscarHealth - lost >$80M last yr & on track 2 lose >$160M this yr. Disruption's expensive http://www.bloomberg.com/news/articles/2016-08-23/insurance-startup-oscar-quits-markets-rethinks-obamacare-plans …
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learned a lot reading your
@OscarHealth article. You write very clearly about the insanely complicated world of health care
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Narrow networks is not new but the article talks as it this is the panacea. How will Oscar coordinate care ?
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narrow networks + ADT pings = NBD been there, did that; can they get Medicare + a bit pricing or just ESI pricing ?
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Creating 1st class and 2nd class access. Low cost, 2nd class access is fine...until your loved one gets cancer.
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what pts want is hassle free, worry free timely care - these will be the next
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its a great pivot and is why
@KPShare succeeds - http://thehealthcareblog.com/blog/2011/04/15/does-america-want-apple-or-android-for-health-care/ …Thanks. Twitter will use this to make your timeline better. UndoUndo
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will they still meet QHP/state network requirements for access?
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yes, of course! We want to make sure all our members have easy access to high quality providers & services.
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old biz plan:we're new and get Govt $... New biz plan: fewer choices, higher prices but
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