From AIS's Value-Based Care News - Digestive HealthCare Center in Hillsborough, N.J., is seeing benefits from two bundled payment contracts for colonoscopy, but major barriers still stand in the way of gastroenterologists who want to ink value-based contracts with payers. That’s the word from Charles Accurso, M.D., medical director of the Digestive HealthCare Center and Central Jersey Ambulatory Surgery Center. Read more
From AIS's Value-Based Care News - Commercial and Medicaid insurers and employers are starting to test bundled payment arrangements in a major cost area: maternity care. Although maternity bundled payment programs are far from widespread right now, they represent an obvious target for bundles: the episodes are easy to define, and there’s a real opportunity to improve care and patient satisfaction while lowering costs. Horizon Blue Cross Blue Shield of New Jersey has an extensive bundled payment program,… Read more
From Inside Health Insurance Exchanges - Beginning next January, health insurers in Colorado will be allowed to use telehealth providers to satisfy network adequacy requirements for certain specialties, according to a bulletin issued March 31 by the Colorado Division of Insurance. Given the increased reliance on narrow networks for insurance plans sold through the public exchanges, it would seem that telehealth could plug some of the gaps, meet state network-adequacy requirements and increase the number of specialists… Read more
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