Redesigning the business, delivery, and trust in health.
ABOUT THE STANDARD
The Standard sets the precedent for the business of health. For an industry navigating cost, regulation, and a crisis of trust, it is the editorial voice on how to rebuild the business, improve the delivery of care, and restore the community’s confidence. It is written for the billion‐ and million‐dollar organizations accountable for getting it right.
By RaeAnn • Founder & CEO, HLTHWORKS
COVER STORY
The Standard / Article 06
THE ECONOMICS OF HEALTHCARE • NO. 06
Whole-Person Care:
The Benefits Are
Already There
We do not need new benefits to protect HealthSpan. We need to stop administering the ones we already have on separate tracks.
Weaving supplemental, behavioral, and pharmacy into a single care journey makes care more accessible, affordable, and preventive, and the research shows every one of those lowers total cost of care. Collaborative behavioral care returns roughly$6 for every $1 spent; medication adherence cuts CHF costs 23 percent; a $20 ride prevents an ER visit.
Four capitation structures, who captures the upside, and why revising 2027 budgets and designing 2028 contracts around whole-person care is the real fix.
The value-based mechanism that funds whole-person care and holds it accountable. The payoff to the case built across Articles 3 through 6.
READ >>
08
Brokers: Cost, Incentive, Purpose, and Role
Where trust breaks and gets rebuilt. Broker economics and incentives across Medicaid, Commercial, ACA, self-funded, Medicare Supplement, and Medicare Advantage.
READ >>
09
Compliance: Regulatory and AI Governance
What real accountability looks like when regulation and artificial intelligence collide inside a health plan.
READ >>
FROM THE ARCHIVE
Analysis, commentary, and field notes across payer, provider, and policy.