What would happen if insurance gave more generous coverage for important care,and less generous coverage for services that offered little benefit?

The potential for further healthcare reform is only one aspect of the fast-changing landscape for health plans. Insurers are also facing significant upgrades in technology and human resources.

While we can observe actual spending for ACO beneficiaries, ... it's very hard to know what would have been spent if ACOs did not exist. It is important to avoid using the [CMS] benchmarks to evaluate ACO savings because benchmarks are constructed with policy goals in mind....

A White Paper prepared by the Healthcare Fraud Prevention Partnership in conjunction with NORC @ the University of Chicago.

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