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February 6, 2017

Today's Featured Story

Mass. Blues’ AQC Improves Care for Low-SES Enrollees
Reprinted from THE AIS REPORT ON BLUE CROSS AND BLUE SHIELD PLANS*

Blue Cross Blue Shield of Massachusetts’ Alternative Quality Contract (AQC) showed the largest gains in quality of care for members with social risk factors, according to a study by Harvard Medical School researchers published in the January issue of Health Affairs. The study compared measures of health care quality and spending among enrollees in areas with fewer social risk factors against those with more, both before and after providers started with the insurer’s AQC, a modified global payment model designed to encourage cost-effective, patient-centered care by paying participating physicians and hospitals for the quality, not the quantity, of the services they deliver.... Read Full Story

* Not affiliated with the Blue Cross and Blue Shield Association or its member companies.

 
American Well
 

Today's AIS Health Datapoint

757,373 ... is the number of commercial risk-based medical members lost by Anthem, Inc., from 2015 to 2016, an 8.18% decrease. The company gained 1.4 million members in the ASO/non-risk sector during that same time period.

From AIS's MEDICARE AND MEDICAID MARKET DATA

 

People on the Move

PatientPoint named Mike Collette CEO. Collette founded the company and served as its CEO until 2012, when he became chairman of the board of directors….Rockport Healthcare Services appointed Michael Wasserman, M.D. chief medical officer. Wasserman is a geriatrician and an assistant clinical professor at UCLA School of Medicine. He most recently served as executive director, care continuum at Health Services Advisory Group, the Quality Improvement Network for the state of California….MedAvante, Inc. hired Susan Vallow as vice president of Patient eSolutions. Vallows previously was senior director and head of patient focused outcomes at GlaxoSmithKline.

 

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