For the first time, Blue Cross and Blue Shield of Illinois will share the cost and quality of services to assist doctors with finding the best healthcare services for their patients.
For the past 18 months, Maryland has been implementing an all-payer system that shifts away from the fee-for-service reimbursement model and instead focuses on capped payments and rewards to providers who deliver quality healthcare at lower costs.
Blue Cross and Blue Shield companies understand that transforming the healthcare reimbursement system depends not just on cutting costs but, rather, reinventing how doctors and providers are paid.
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.