High-Value Providers Beget More Competition, pPayer Pilot Suggests

Access to prices and just a bit of nudging seems to not only help members find the best deals on elective health services like imaging but also spur some competition among providers.

Access to prices and just a bit of nudging seems to not only help members find the best deals on elective health services like imaging but also spur some competition among providers.

A price transparency program for MRIs launched by several Blue Cross Blue Shield plans led to more members using lower-priced providers, along with modest charge reductions by high-priced providers, according to a new study in Health Affairs by researchers with the firm HealthCore.

To find ways to encourage members to use high-value providers for elective MRIs, Blue Cross insurers in Georgia, Illinois, Ohio, New York and elsewhere set up an experiment of sorts between 2010 and 2012.

Source: Healthcare Payer News

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