A surge of U.S. policymakers and payers are endeavoring to shift providers’ financial incentives from those that pay for fee-for-service and greater volume of care to those that pay for high-value care. While there are some who resist this change, the die is cast as value-based contracting is delivering benefits to those who pay the bills.
Blue Cross Blue Shield of Massachusetts’ Alternative Quality Contract slowed the rate of medical spending growth by up to 12 percent while improving patient care over the course of eight years, according to a Harvard Medical School study published in the New England Journal of Medicine.
The American College of Surgeons and Harvard Business School’s Institute for Strategy and Competitiveness announced a new partnership aimed at improving health care value.
Healthcare consumers may love the idea of virtual care, but so far few are actually taking advantage of it. That’s the core message coming out of a recent Vivify Health survey, which showed 83 percent of consumers are interested in receiving virtual care, but only 17 percent have access to it.
Most U.S. consumers are very interested in receiving regular messages from their health plans – if those messages are highly relevant to them and can help them stay healthier and/or save money. That’s the conclusion drawn from a new online Pollfish survey of 400 consumers conducted on behalf of RxEOB who are members of commercial and government-sponsored health plans.
Evidenced by the move to measure and reimburse providers based on the quality, as opposed to the quantity, of care delivered, the healthcare industry is shifting from a fee-for-service to an outcomes or value-based model.
Continuing its efforts to address high prescription drug costs, insurer Highmark entered into a new outcomes-based contract with Boehringer Ingelheim for Jardiance (empagliflozin), an oral medicine indicated to lower blood sugar in adults with type 2 diabetes, and also to reduce the risk of cardiovascular death in adults with type 2 diabetes who have known cardiovascular disease.
Physicians and health plan executives agree that healthcare has made little progress toward value-based care since last year, according to a survey by Quest Diagnostics.
One Drop, a digital diabetes care and self-management platform, announced a multi-part collaboration with Fitbit that will use the power of Fitbit wearable data to bring enhanced data-driven care management tools to the diabetes community.
Nearly 3 in 10 – 29 percent – of total U.S. health care payments were tied to alternative payment models in 2016, compared to 23 percent in 2015, according to a report by the Health Care Payment Learning & Action Network. The public-private partnership was launched in March 2015 to drive adoption and alignment of APMs.