4 Lessons From ACOs For Managing Downside Financial Risk

I've been thinking a lot about financial risk for health and human services over the past month. While the shift in “who is at risk” has been glacial, the effects on the service delivery landscape are becoming increasingly apparent. At the payer level, the shift of financial risk from employers, from Medicare, and from Medicaid plans continues. At last count, 77% of the U.S. population with health insurance was enrolled in managed care plans—including commercial (99%), Medicaid (68%), and Medicare (33%) (see U.S. Population Enrolled In Managed Care, 2011-2016: An OPEN MINDS Reference Guide).

For . . .