Health Affairs April 22, 2021
John Toussaint, Stephen M. Shortell, Peter A. Wadsworth

Last year, we introduced the concept of Better Care Plans (BCPs) as an important piece of the Biden administration’s proposed public option—although the BCPs are not limited to being only a solution for the public option. BCPs are insurance plans patterned after Medicare Advantage that contract with high-value provider groups through pay-for-value incentives that reward team care and better quality. In our proposal, BCPs would receive upfront per member-per-month risk-adjusted payments from government and private sources and determine which high-value providers will be part of the in-network option for clients that choose the plan.

There are three essential components of BCPs:

  • Care delivered by Better Care Teams;
  • Transparent quality and patient-safety performance and reporting; and
  • Provider payment for value.
  • ...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Patient / Consumer, Payment Models, Physician, Primary care, Provider, Value Based
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