Complimentary from the publisher

Complimentary from the publishers of VBP News August 2020

"One of the greatest ironies in all this is that because of Covid-19, people are realizing that there’s just as much — if not more — risk in staying in an antiquated, fee-for-service model than there is in embracing an alternative. We expect to see the sentiments surrounding risk shift significantly next year, especially as awareness of providers’ success with capitated payments during the pandemic becomes even more mainstream."
-Rita Numerof, president of Numerof & Associates.

A survey of employers by The Leapfrog Group found that about a third of Cigna and Aetna clients believed their plans put them first, “while only 14% of UnitedHealthcare employers were similarly satisfied.” Aetna led among plans for putting a focus on quality. Cigna achieved the highest ratings for advancing quality, with 79% satisfaction, while UnitedHealthcare “scored the lowest for achieving quality,” with 52% satisfaction.

Source: Value Based Payment News, Volume 5 Issue 16, August Second Edition 2020, Surveys & Trends: "UnitedHealthcare Rated Worst by Employers at Having Their Backs in Transition to Value."

How cutting off subsidy payments to insurance companies would affect Obamacare

Pricing in a Pandemic ICER Colloquium Series: Session 2, Cost-Effectiveness and Value-Based Pricing

This webinar is the second of a three-part online colloquium series from The Institute for Clinical and Economic Review (ICER). It covers value-based pricing through which cost-effectiveness analysis is used set a ceiling price based on the degree of added benefit for patients and society.

Check out HealthshareTV, the home for health care videos

	UnitedHealth Group: Comparison of 6 Quality Metrics for Global Capitation vs. Fee-for-Service 1. Breast cancer screening rate: global capitation 80% vs. FFS 74% 2. Colorectal cancer screening rate: global capitation 82% vs. FFS 74% 3. Controlled blood sugar levels: global capitation 89% vs. FFS 80% 4. Eye exams: global capitation 84% vs. FFS 74% 5. Functional status assessment rate: global capitation 96% vs. FFS 86% 6. Medication review: global capitation 97% vs. FFS 92% Notes: Global capitation pays a set amount per month per patient. The study used metrics from the National Committee for Quality Assurance’s Healthcare Effectiveness Data and Information Set (HEDIS) related to preventive care and chronic conditions. Source: UnitedHealth Group, August 11, 2020

Industry News with briefs regarding BCBS North Carolina; Anthem BCBS and Yale New Haven Health System
Surveys & Trends: UnitedHealthcare Worst at Having Employers’ Backs in Value Transition
VBP Collaboration with a brief regarding Newton-Wellesley Hospital and AllWays Health Partners.
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