According to Marilyn Tavenner, president and CEO of America’s Health Insurance Plans, consumer and provider education plays a large role in the healthcare system’s transition to alternative payment-models and value-based care. Affordability is the operative word, for which Tavenner expects to be insurers biggest challenge in the coming future.
Consumer and provider education plays a large role in the healthcare system’s transition to alternative payment models and value-based care, explained Marilyn Tavenner, president and CEO of America’s Health Insurance Plans (AHIP). Affordability is the operative word, for which Tavenner expects to be insurers biggest challenge in the coming future.
Transcript (slightly modified):
What are the concerns AHIP’s members have voiced as the US healthcare system moves toward alternative payment-models and value-based care?
I think the biggest concerns are, our members are very enthusiastic about moving to this model and our members have much more experience with capitation, are paying for an episode of bundle of care, but providers do not have as much experience. So the concern is making sure that providers are educated, they have the technology they need, the consumers understand where we’re going and they’re on board.
So I think it’s really a big education process for consumers and for providers but it’s also making sure we move in a steady path and we don’t try to go there all at once and confuse people or have unintended consequences by moving too rapidly when people aren’t ready to go.
What do you think is the biggest challenge facing insurers in the next year?
Affordability, affordability, affordability. That’s going to be something you hear about. You’ll hear about it from Congress, you’ll hear about it from both presidential candidates, and you’ll hear about it from us. Pharma’s obviously a big piece of that but it’s not just pharma. It’s general services. How do we go about getting cost in line with what our economy and the public can handle? It’s a number 1 issue for consumers, understandably so.
Empowering Community Health Through Wellness and Faith
April 23rd 2024To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In the third episode, Camille Clarke-Smith, EdD, MS, CHES, CPT, discusses approaching community health holistically through spiritual and community engagement.
Listen
Dr Michael Farwell on FDG PET/CT Imaging to Predict Immunotherapy Response in Advanced Melanoma
April 15th 2024Michael Farwell, MD, associate professor of radiology at the Hospital of the University of Pennsylvania, provides insights into a study on the benefits of using 18F-fluorodeoxyglucose (FDG) PET/CT imaging to detect metabolic tumor changes in skin cancer.
Read More
Overcoming Employment Barriers for Lasting Social Impact: Freedom House 2.0 and Pathways to Work
April 16th 2024To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. Welcome to our second episode, in which we learn all about Freedom House 2.0 and the Pathways to Work program.
Listen
Increasing Lp(a) Awareness for Better Cardiovascular Health: Dr Mary McGowan
March 24th 2024For Lp(a) Awareness Day, Mary McGowan, MD, FNLA, chief medical officer of the Family Heart Foundation, highlights how most people with elevated Lp(a) are completely unaware that they have this increased risk and calls for increased testing.
Read More
Dr Al Benson on Reimbursement for Supportive Care When Treating Patients With Cancer
March 22nd 2024Al Benson, MD, FACP, FACCC, FASCO, medical oncologist at Northwestern University Feinberg School of Medicine and associate director of the Robert E. Tillery Comprehensive Cancer Center, discussed findings from a national survey assessing barriers to comprehensive cancer care delivery.
Read More