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Innovation in Healthcare Reform

In the latest episode of the Analytics & Outcomes podcast, Softheon Technologies CEO Eric Grossman interviews Avik Roy, President of The Foundation for Research on Equal Opportunity.

Eric and Avik discuss innovation in healthcare and focus on healthcare policy reform and, specifically, the Affordable Care Act.

“I think some of the winners are going to be the insurance companies that can adapt to a highly competitive individual market.”

-Avik Roy

Key discussion topics include:

  1. Buying healthcare across state lines. It drives competition and drives prices down. Avik outlines a compelling example of domestic medical tourism in the U.S.
  2. Fair pricing across both for and non-profits. Avik an Eric discussed the halo effect put around some non-profits which seems to enable exploitative pricing.
  3. Compelling models for healthcare reform. Switzerland provides a useful example of how to pursue a universal individual market.
  4. Who’s winning the highly competitive individual market. Some medicaid managed care plans, some blue plans and some national for-profits. But as Avik noted, “It’s really a mixed bag.”

Listen to the podcast or download the transcription to get all the insights.

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