The recent announcement that Anthem Blue Cross is partnering with seven major hospitals in the Southern California area to launch an integrated care program has been met with lots of publicity, including our own coverage of the venture. The collaboration, which is called Anthem Blue Cross Vivity and includes UCLA Health and Cedars-Sinai, will offer large employers less-costly coverage for members who use in-network hospitals and doctors. That in and of itself isn't particularly innovative or unique, since insurers and providers have shared savings and risks for years across different markets. But what is so special about Vivity, as a California Healthline article points out, is the way it's structuring the financial model.
To survive in the tumultuous healthcare industry, hospitals around the country need to cut costs while maintaining workflow and maximizing efficiency, which can sometimes leave hospital employees demoralized and stressed, authors Anil Kaul and Jeffrey Mohr write in Hospitals & Health Networks.
Payers and providers must lay the foundation of collaboration to create an integrated healthcare system that coordinates care, lowers costs and boosts quality, according to the chief executive of Blue Cross Blue Shield of Rhode Island.
School and health systems in at least three states now take steps to better integrate their services to ensure that children who have chronic conditions receive the coordinated care they need, according to a Kaiser Health News article.
Many healthcare systems continue to seek deals to acquire physician practices in an effort to expand access to care as well as their market reach. Historically many of these deals don't work and a new Becker's Hospital Review article reveals that part of the problem may be due to the fact that systems focus on the external aspects of a merger and not the internal ones.
The growing population health movement has led insurers and providers to patient-centered medical homes (PCMH), accountable care organizations and other integrated care models to improve the outcomes and reduce the costs for patient populations.
The Centers for Medicare & Medicaid Services has partnered with Michigan to test efforts to improve care and contain costs for Medicare-Medicaid enrollees.
Kaiser Permanente, Humana and Blue Cross Blue Shield of Florida came out on top for customer satisfaction, according to an annual survey from Insure.com. The study measured customer service, claims satisfaction, value for price paid, and customer renewals and recommendations.
Many healthcare organizations are just starting to adopt more integrated models of care--Humana has embraced the concept for 25 years, Roy Beveridge, M.D., chief medical officer of Humana, told FierceHealthPayer in an exclusive interview.
More hospitals and health systems are getting into the insurance business, eliminating health insurers from the process, the Fiscal Times reported.