value-based reimbursement

Coalition Letter on Rising Health Costs and Value-Based Insurance Design

March 1, 2019

The Honorable Lamar Alexander
Committee on Health, Education, Labor, and Pensions
428 Dirksen Senate Office Building
Washington, DC 20510

The Honorable Patty Murray
Ranking Member
Committee on Health, Education, Labor, and Pensions
428 Dirksen Senate Office Building
​Washington, DC 20510

Dear Chairman Alexander and Ranking Member Murray:

Anthem ACOs Save $7.9M with Population Health Management

Six medical groups participating in Anthem Blue Cross’ Accountable Care Organization (ACO) program were able to save $7.9 million in just one year by focusing on improving population health management for patients suffering multiple chronic diseases, according to an Anthem press release. 

The Enhanced Personal Care Program helps primary care providers leverage clinical analytics and big data as they offer team-based, personalized care and robust chronic disease management for patients at risk of suffering from highly fragmented services or insufficient support.

News Author: 
Jennifer Bresnick

The Payment Reform Landscape: Value-Oriented Payment Jumps, And Yet …

Today, Catalyst for Payment Reform (CPR) unveiled some potentially exciting news: Our 2014 National Scorecard on Payment Reform tells us 40 percent of commercial sector payments to doctors and hospitals now flow through value-oriented payment methods, defined as payment methods designed to improve quality and reduce waste.  This is a dramatic increase since 2013 when the figure was just 11 percent.

News Author: 
Suzanne Delbanco

Docs leery of sharing risk with payers in value-based reimbursement

This lack of trust called "a huge hurdle' for insurance companies

Physician distrust of payers is a significant impediment to creating value-based reimbursement programs, according to a new survey from global business advisory firm FTI Consulting.

In fact, 41 percent of physicians who do not participate in a value-based relationship point to distrust of payers as the major reason.

News Author: 
Susan D. Hall
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