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Integration of health insurance companies

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With the pending changes in the healthcare insurance industry and so many healthcare insurance companies being acquired what will be the outcome for the consumer regarding vertical integration of a network for one stop care?(with insurance companies being acquired by drug store companies)

Healthcare Industry
Drugstore
Insurance
Vincent Barnes, SHRM-SCP, SPHR,Career Consultant
15 months ago

7 answers

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Good question. Different strategies have been outlined or rumored to-date. Now that DoJ approves and just waiting on final States to approve, the consumer impact will become more clear during 2019.

Don't expect much if any change in 2019.

Randy Vogenberg, PhD
15 months ago
One word = MONOPOLISTIC - Dr. David E. 10 months ago
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Vincent Barnes, SHRM-SCP, SPHR,Career Consultant
15 months ago
More cost - less choice - inferior products - Dr. David E. 10 months ago
The integration is for the companies - not the customers - Dr. David E. 10 months ago
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Vertical integration is an evolving competitive model attracting national healthcare plans. “CVS Health (CVS)” is a true example wherein CVS functions as a PBM, retailer, insurer and now a “Provider”. The CVS model has offered insurers enhanced market-share leverage, competitive (product) diversification with anticipated improved outcomes, lower medical cost, and engaging the consumer with a variety of “shelf-life” products and services.
Owen B. Ellington, M.D., J.D.

Owen B Ellington, MD, EJD
15 months ago
Seems to never work out as intended. - Dr. David E. 10 months ago
LINK: https://www.consumeraffairs.com/rx/cvs_rx.html - Dr. David E. 10 months ago
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Vincent Barnes, SHRM-SCP, SPHR,Career Consultant
15 months ago
It is definitely time for the digital data revolution to occur in healthcare! - Dr. David E. 10 months ago
Quote of Seema Verma = CMS - Dr. David E. 10 months ago
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Outcomes for the consumer could be positive with a more seamless experience, medical records more easily shared among providers (less filling out redundant forms) and integration of care. However, it could also lead to less consumer choice. This could come about directly or indirectly via the difficulty of going outside of the integrated (closed) system.

Carolyn C. Tinsley, MHA CLSS GB
15 months ago
Redundancy is also a ceck for correctness and accuracy. - Dr. David E. 10 months ago
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ON CMS and EMRs


New interoperability rules designed to empower patients, Verma says;

https://www.aiin.healthcare/topics/connected-care/interoperability-rules-empower-patients-verma-says

Agree; or not?

Dr. David E. M
10 months ago
EHRs help EHR companies - not patients and not doctors - Dr. David E. 10 months ago
THINK: VA system - Dr. David E. 10 months ago
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Integrations are mostly done for business goals. Insurance is also more of a business than a patient care thing. More integration shrinks the player and tends to monopoly. For customer its good user experience ( in terms of records and paperwork) but I doubt for the cost. 

Hitesh Mathpal
10 months ago
No insurance company is a neighbor and no one cares, - Dr. David E. 10 months ago
Agreed. As a physician-executive, I was also an insuance agent. Just BUSINESS-not patient Care. - Dr. David E. 10 months ago

Have some input?