Your advisors for a changing healthcare landscape.

HealthScape Advisors assists organizations in navigating the continuously changing healthcare landscape and transforming their businesses to deliver sustainable market value. Our managing directors and employees have served the various segments of the healthcare industry for over two decades with a particular focus on health plan operations, claim reimbursement, pharmaceuticals, government programs, business acquisitions and integrations.

HealthScape Advisors Insights

  • Provider Integration: Not Just a Trend

  • In this article we discuss the 5 most significant reasons for provider integration and alignment permanence and the impact to the various parties involved.
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  • The Rise of the Defined Contribution Market

  • In this article we discuss the major reasons for increasing employer group interest in defined contribution models and private exchanges, as well as the key health plan advantages of participating in private exchanges.
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  • 2010 Data Show Small Group, Individual Health Plans Would Have to Make Rebates.

  • This BNA Health Insurance Report discusses the results of HealthScape's minimum MLR benchmarking analysis from 2010 NAIC filings
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  • States Line Up for MLR Adjustments as Insurers Cut Brokerage Commissions

  • In this BNA Health Insurance Report, a HealthScape managing director discusses the impact of minimum Medical Loss Ratios on health plans.
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  • Reasonable Risk Adjustment Helps Ensure Fair Payment

  • In this Managed Healthcare Executive article, HealthScape's managing directors discuss how critical diagnostic information will be for accurate risk scores and appropriate plan payments within the insurance exchanges.
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  • The Changing Healthcare Landscape

  • In this article we focus on the implications of the four most significant market forces: - failings of the current reimbursement model; underwriting implications of community rating; transparency through exchanges; and information technology changes including ICD-10.
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HealthScape Advisors Health Reform Discussion
Executive Summary -
Overview of Health Reform
The landmark health insurance reform legislation that became a reality in late March was unprecedented in both size and scope.
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Minimum MLR - Lessons Learned
Our experience in the past six months has highlighted several key lessons learned that we feel health plans must consider when evaluating their current response to MLR
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Impact of Minimum Medical
Loss Ratio on Health Plans
Perhaps one of the most immediate and significant impact of health care reform is the establishment of minimum Medical Loss Ratios (MLR)   pdf icon Read full article
Impact of Health Reform on Medicaid Markets
The Patient Protection and Affordable Care Act (PPACA) includes several broad-reaching provisions that will rapidly expand coverage to the low income population, as well as alter the delivery model.
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Total Cost Management
Health reform legislation includes wide-ranging provisions that are intended to address the deficiency in the access to and the pricing of health insurance products.
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Business Diversification Opportunities
To achieve long-term sustainability, Health Plans will need to embrace the changes noted above and shift the focus of their business models.
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Survey for Dental Plans on Administrative Costs

HealthScape Advisors is conducting the 1st Annual Dental Plan Administrative Expense Survey to allow dental benefit providers to confidentially benchmark their organization's operating expenses against other participants. Click on the links below for more information and to sign-up and participate.

About the Survey
Sign-up to Participate