Difference between revisions of "Health Insurance Payment Models"
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* [http://www.beckershospitalreview.com/finance/cigna-novartis-agree-on-outcome-based-price-for-heart-drug.html Cigna, Novartis agree on outcome-based price for heart drug (2/9/16)] | * [http://www.beckershospitalreview.com/finance/cigna-novartis-agree-on-outcome-based-price-for-heart-drug.html Cigna, Novartis agree on outcome-based price for heart drug (2/9/16)] | ||
* [http://www.beckershospitalreview.com/payer-issues/cigna-first-insurer-to-reach-value-based-agreements-for-new-class-of-cholesterol-drugs.html Cigna first insurer to reach value-based agreements for new class of cholesterol drugs (5/12/16)] | * [http://www.beckershospitalreview.com/payer-issues/cigna-first-insurer-to-reach-value-based-agreements-for-new-class-of-cholesterol-drugs.html Cigna first insurer to reach value-based agreements for new class of cholesterol drugs (5/12/16)] | ||
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| + | ==Provider-Based Health Plans== | ||
| + | * [http://healthpayerintelligence.com/news/cigna-partners-with-scripps-health-in-pay-for-performance-model Scripps Health and Cigna have created an alliance through a pay-for-performance model to sell HMO health plans among San Diego employers (1/12/17)] | ||
==Value-Based Care Programs== | ==Value-Based Care Programs== | ||
Revision as of 12:59, 15 March 2017
These are health insurance payment models that offer incentives for healthcare systems, physicians and patients to design interventions that improve health behavior, healthcare activities and overall health of patients. They include concerted efforts such to reward healthy behaviors and discourage non healthy actions. See which Organization Interventions work.
Contents
Accountable Care Organizations
Bundled Payments
Health Plan Design
Patient Financial Incentives
Performance Based Pricing
- Cigna, Novartis agree on outcome-based price for heart drug (2/9/16)
- Cigna first insurer to reach value-based agreements for new class of cholesterol drugs (5/12/16)
Provider-Based Health Plans
Value-Based Care Programs
- Humana, Aetna, Cigna Invest in Value-Based Care Payment Models (1/6/17)
- UnitedHealth, Aetna, Anthem Near 50% Value-Based Care Spending (2/2/17)
- Doctors Earn More Than $148 Million In Quality Of Care Bonus Payments For Improving Health Outcomes, Addressing Care Opportunities For UnitedHealthcare Medicare Advantage Members (8/4/16)
- 4 strategies BCBS used to save $1B through patient-centered programs. These programs include BCBS' accountable care organizations, patient-centered medical homes, pay-for-performance programs and episode-based payment programs — emphasize prevention, wellness and coordinated care, in conjunction with reducing waste in the healthcare delivery system. (6/2/15)
