CHC Insights

We are seeing fewer providers where we need them the most, specifically in rural regions of the country, and we are witnessing slower growth in primary care providers compared to other specialties, which is very alarming.  

The year-over-year cost of the employer-sponsored insurance has grown by 7% over the past two years and is projected to grow by 8% in 2025. In 2025, employers will pay an average of $25,000 to cover the average American family

Although CMMI has not announced any new programs or demonstrations, there is optimism in Abe Sutton, who has close ties with Adam Boehler, CMMI Director during President Trump’s first term in office, being appointed as CMMI Director. If Mr. Bohler's tenure in CMMI, where he launched 16 new models, is an indication of what we'll see from Abe Sutton, then expect more value-based models.

As prescription drug costs continue to rise, the federal government continues to explore ways to contain the cost. Methods such as the Medicare Drug Price Negotiation have yielded positive results. In contrast, other programs, such as 340B, seem to be helping provider organizations more than beneficiaries and the low-income patients the program was designed for.