From AIS's Value-Based Care News - California is well ahead of most of the rest of the country when it comes to providers bearing risk in HMO models. But the advent of accountable care organizations and a resurgence in PPO benefit design have led to some unique collaborations between providers and payers in the state, and insurance products based on these alliances are trying to supplant the more traditional HMOs in some areas. Read more
From AIS's Value-Based Care News - Insurers and provider groups are trying a variety of approaches on oncology reimbursement that will remove the incentive for oncologists to use expensive but not necessarily effective chemotherapy drugs and instead place the focus back on quality of care. Read more
From Inside Health Insurance Exchanges - Last fall, employees at AMN Healthcare selected health insurance plans and voluntary benefits through RightOpt, a multi-carrier private insurance exchange from Buck Consultants, a Xerox company. Employees, however, have no idea they are now part of an insurance exchange, said Lisa Larson, senior director of human resources operations at AMN Healthcare, a San Diego-based medical and physician staffing company that has 2,000 employees and 6,000 clinicians nationally. Read more
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