Insurers for the most part disregard the warnings of critics that the hopes for accountable care organizations (ACOs) are overblown. At the very least plans expect this bulwark of the Affordable Care Act to usher in a new era of payer/provider cooperation.
The Medicare population presents unique challenges and the man who heads Cigna’s efforts in this market thinks he’s found the right response with physician buy-in and an innovative payment model.
The method is based on historical claims, covers all medical services for a year, and is adjusted annually based on a patient’s health status. Those are elements of the Alternative Quality Contract, and Blue Cross Blue Shield of Massachusetts says it’s seeing results.
We cannot assume that next-generation sequencing is going to work right away, writes Marc S. Williams, MD. And the technology that does work doesn’t necessarily translate into savings.
How can we reconcile the challenge of personalizing medicine with the challenge of caring for populations, and with health care reform? David B. Nash, MD, MBA, the dean of the Jefferson School of Population Health tackles tough questions.
Many health insurance plans face challenges that DTC marketing might be able to address
The association between the two diseases is strong, and insurers should consider all management options
The Six Million Dollar Man had superhuman eyesight, but insurers won’t have to pay that much for this treatment
Anthem’s experience exposes vulnerabilities regarding the maintenance of physician networks