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In what could be a major development in health care payment reform, three of the country's largest health insurance payers recently announced new payment models that reward providers who improve health outcomes and care quality while lowering overall costs. High-quality primary care is central to all of the plans.
The latest move comes from UnitedHealth, the nation's largest insurer, which will soon roll out new financial rewards for primary care doctors, hospitals and physician groups that reduce avoidable hospitalizations, emergency room visits, and hospital readmission rates. WellPoint Inc. plans to invest $1 billion to increase doctors' fees by about 10 percent and pay them for services that currently aren't covered, including care management. Aetna is offering a new fee for primary-care practices that meet certain standards for improving care. Wellpoint and Aetna have also launched significant patient-centered medical home pilots.
Click here for the Wall Street Journal's coverage in "New Way to Pay Doctors"