From The AIS Report on Blue Cross and Blue Shield Plans - Blue Cross and Blue Shield of Texas (BCBSTX), a division of Health Care Service Corp., struck a deal with the nation’s largest physician group, the Texas Medical Association (TMA), in a new incarnation of the accountable care organization (ACO) model, the two groups said on Feb. 5. The partnership, which incorporates 48,000 TMA physicians and more than 5 million BCBSTX members, is significant in that it represents a break in the tradition of insurers partnering with ACOs led by sizeable health systems, instead bringing tech-challenged independent doctors into the fold of value-based care. Read more
From The AIS Report on Blue Cross and Blue Shield Plans - Programs that reward providers for effectively treating the chronically ill while keeping healthy members out of the hospital are nothing new. But the financial rewards for providers are becoming more meaningful as the industry inches away from the fee-for-service model. Since 2011, Harrisburg, Pa.-based Capital BlueCross says accountable care arrangements with physician offices have led to healthier members, lower medical costs and improved quality of care. “I think it is imperative… Read more
From The AIS Report on Blue Cross and Blue Shield Plans - Since the implementation of the Affordable Care Act (ACA), employers and consumers have grown increasingly interested in finding ways to supplement traditional medical coverage, says Kevin Stutler, vice president of ancillary products at Blue Cross and Blue Shield of Michigan. Likewise, insurance companies are looking to offer employers and consumers one-stop shopping for a wide variety of products, adds Brian Lobley, senior vice president of marketing and consumer business at Philadelphia-based… Read more
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