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Government Programs

Your biggest customer?

Are you equipped for a new era in collaboration and cost control?

Medicare and Medicaid are expanding and exchanges are brand-new. All three models mean your growth opportunities are funded by the public sector—and more of the rules that accompany that funding. Risk selection, plan design and actuarial calculus may not be the focal points of profit anymore. Instead, plans will need to do a better job of improving quality, engaging customers and controlling costs by reinventing relationships with providers and guiding individual members to make better health care choices.

Plans may also diversify to help members with wellness and prevention, help providers with population management, or move into new markets.

What’s your plan to expand and remain profitable as you grow in government-funded programs? Do you have the tools to support the change as you head into new territory?

See Thinking forward for more insights on this issue.

Thinking forward

  • Government programs: Meet your new biggest customer
    Doing business with the government is nothing new for many health plans. But
    even for the most government-oriented insurers, the game has changed. Explore our current thinking on government business and steps you may take right now.
  • Will they come? Consumers and health insurance exchanges: Awareness, preferences and concerns
    Deloitte’s 2013 consumer survey reveals a lack of awareness around health insurance exchange (HIX) details and worries about cost. Engaging and informing consumers can help to convert interest into enrollment.

Watch, listen and learn

  • Life sciences and health care deal activity: Is M&A here to stay?
    Register for the November 11 webcast.

Dig deeper

  • Health Sciences Practice
    Industries we serve.
  • Deloitte Center for Health Solutions
    Health care insights start with research.
  • Health Care Current
    Read this week's summary.

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