Latest Headlines

Latest Headlines

Highmark unveils bundled-payment model for cancer care

Following in the footsteps of other major insurers, Highmark will debut a bundled-payment initiative aimed at paying for value in cancer care, according to the  Pittsburgh Post-Gazette.

Cigna makes performance-based drug pricing deal with Novartis

Health insurer Cigna has teamed up with Swiss drugmaker Novartis AG to set the price for a new heart medication based on performance, Reuters reports.  

Study: Medicare Advantage double bonuses did not improve quality ratings

Paying some Medicare Advantage plans double bonuses under a pay-for-performance program did not result in higher quality ratings, according to a new study.

Scorecard: 42 percent of Medicare payments tied to value in 2013

Of $360 million in Medicare fee-for-service payments in 2013, 42 percent were value-based,  according to an independent scorecard from nonprofit Catalyst for Payment Reform.

Anthem primary care payment model reduced costs in first year

Anthem's initiative to transform how it pays primary care doctors has reduced costs by around 3.3 percent,  reported  the  Wall Street Journal.

Future of ACA will focus on lowering healthcare costs

Assuming that the Affordable Care Act is here to stay, Democrats now turn their attention to lowering costs.

Value-based healthcare can't come soon enough

My recent column explaining why the healthcare industry can't wait to innovate included a quick list of buzzwords often associated with transforming healthcare. Given the gift of hindsight, I...

Michigan Blues, hospitals save $50 million through value-based contracts

Blue Cross Blue Shield of Michigan has been a leader in the value-based payment movement, with many contracts already in place with its physicians. Now, the insurer is expanding its focus on value to hospitals, having signed value-based reimbursement agreements with 18 health systems in the state. So far, five of the contracted health systems have shared $50 million in total savings with Blue Cross.

3 trends transforming the health insurance industry

Depsite disruption, and despite overall spending of $2.9 trillion last year, the rate of growth in healthcare spending is at its lowest rate in 50 years. So what has caused this significant transformation?

40% of provider reimbursements are for value-based care

Demonstrating a dramatic move toward value-based payment, 40 percent of insurers' reimbursements to providers were for value-based care that improve quality and reduce waste--an increase of 29 percent from 2013, according to a new report from Catalyst for Payment Reform.