Anthem Blue Cross's accountable care organizations saved $7.9 million in one year, the insurer announced. The ACOs fall under its Enhanced Personal Health Care Program, which it launched last year to promote patient-centered care and compensate doctors who deliver coordinated, personalized care.
Aetna is ahead of the curve when it comes to accountable care organizations. The nation's third-largest insurer has some 60 commercial ACO agreements, with two-thirds featuring risk-sharing agreements. It's all about "attempting to meet the providers where they are in their willingness to take on risk," according to Daniel Finke, CEO of Aetna's accountable care group.
Earlier this year, the Department of Health and Human Services announced it would fundamentally reform how it pays providers for treating Medicare patients. FierceHealthPayer spoke with three industry executives at two insurance companies to discuss payers' role to align with providers to meet this goal.
Insurers are ramping up efforts to encourage wellness and change how they pay for healthcare by using technology and clinical services to manage that care.
For the past few years, skeptics have questioned whether accountable care organizations actually meet their goal of creating long-term savings. Early results from Medicaid ACO programs in Colorado, Oregon and Minnesota may prove them wrong.
Seven hundred Portland, Oregon-area providers announced the formation of Care Connect Northwest LLC, a new accountable care organization.
New, advanced and effective drugs and treatments most always come with a big price tag. But with alternative payment and delivery reforms, payers and providers can give patients the benefits of breakthrough treatments without breaking the bank, according to a Health Affairs blog post.
The growing number of payer-led accountable care organizations (ACOs) continues to remind healthcare industry observers of the rise and fall of the health maintenance organization, but a more nuanced approach to capitation should make the ACOs different.
In this special report, FierceHealthPayer examines why each topic made headlines in 2014 and will continue to matter to payers in 2015 and beyond.
After celebrating Thanksgiving last week with my family, I'm still feeling grateful for many aspects of my life. I'm also thankful for many parts of the health insurance industry. I decided to dedicate this column to many of the positive changes that have happened recently--some at the hands of the Affordable Care Act, others driven by insurers themselves.