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ACOs Encourage Benefit Designs That Push for Value-Based Decisions
More hospitals and doctors are signing accountable care contracts that tie payouts and sometimes penalties to delivering better results at lower costs. Some in the vanguard of that approach want to tweak insurance benefits to nudge patients toward choices that help them do it.
In Arizona, Banner Health is negotiating with large employers for accountable care contracts to start next year, and health system officials are seeking changes to benefit designs that will “drive and incentivize positive behavior,” said Dr. Tricia Nguyen, chief medical officer of Banner Health Network, its accountable care organization.
Insurance is increasingly seen as a vehicle to encourage patients not only to embrace healthy behavior and manage chronic conditions, but also to consider less expensive treatment options, especially when a more expensive path promises limited benefits. Value-based insurance benefits may also promote access to preventive services and chronic disease management programs. While Medicare has launched a rapidly growing ACO effort, private insurers have more flexibility with benefit design and that is where providers say they see promise.
Read the full story here: http://bit.ly/125V403
Source: Modern Healthcare
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.
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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.
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What We’re Reading: Abortion Privacy Rules; Alzheimer Drug Hurdles; Nursing Home Staffing Overhaul
April 23rd 2024New health privacy rules aim to protect patients and providers in an evolving abortion landscape; some physicians express concerns about efficacy, risks, and entrenched beliefs in treating Alzheimer disease; CMS addresses longstanding staffing deficits in nursing homes.
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