Healthcare Innovation May 23, 2023
CMS, Medicaid agencies, and commercial insurers are experimenting with payment models that provide incentives for underserved patients, as determined by an “area deprivation index”
In December 2022, Blue Cross Blue Shield of Massachusetts (BCBSM) announced that four of the state’s largest healthcare systems had signed agreements that link financial incentives to improvements in health equity.
Increasingly, government and commercial insurers are looking for ways to incentivize healthcare providers to expand offerings in underserved communities and to close gaps in preventive screenings and hospitalization rates.
A leader in the “pay-for-equity” movement, BCBSM said its new contracts would initially focus on measuring and rewarding equity in care in several clinical areas where inequities have been identified, including colorectal cancer screenings, blood pressure...
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