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July 25, 2017

Hot Topic

Insurers and providers are partnering to develop value-based care models to serve those with end-stage renal disease (ESRD). Here’s a look at recent developments:

Humana Partners With Fresenius To Offer New MA ESRD Care Model
In the second time in as many months, a partnership between a national health insurer and Fresenius Medical Care North America that’s focused on ESRD has been announced....
From SPECIALTY PHARMACY NEWS

Cigna Teams Up With Fresenius on Plan’s ESRD Value-Based Model
Cigna Corp. continues to broaden its approach to value-based care, in line with the plan’s commitment to have 50% of its reimbursement in alternative payment models and 90% in value-based arrangements by 2018....
From SPECIALTY PHARMACY NEWS

Fresenius Quadruples Its ESCOs In CMS 2017 CEC Model for ESRD
In 2015, more than two years after CMS said it was launching a value-based program focused on ESRD, the agency finally unveiled the groups tapped to participate in the Comprehensive ESRD Care (CEC) model....
From SPECIALTY PHARMACY NEWS

 
Today's AIS Health Datapoint

400,577 ... is the number of commercial-risk members Blue Cross and Blue Shield of Texas lost from 2016 to 2017. Its total commercial-risk enrollment dropped 14.70% to 2,323,843 during that period.

From THE AIS GUIDE TO BLUE CROSS AND BLUE SHIELD PLANS. (Not affiliated with the Blue Cross and Blue Shield Association or its member companies.)

            The AIS Guide to Blue Cross and Blue Shield Plans is now online!

Quote of the Day

“[When you] annualize the savings…the number becomes bigger and the impetus to act increases when you start talking bigger numbers.”

— Jim Yocum, senior vice president of federal programs with Connecture, explains to Medicare Advantage News how annualized cost comparisons could help overcome inertia among seniors on switching plans.

Click here to read the MEDICARE ADVANTAGE NEWS article in which this quote appeared — "New Study on Financial Impact of Member Inertia Could Aid CMS, MA Plan Messaging" (Free for MAN subscribers; $17 for non-subscribers.)

 
 
 

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