Becker's Healthcare April 16, 2019
Commercially insured members who were cared for by providers that shared financial risk with payers saw higher clinical quality and lower costs on average in 2017, according to benchmarking tool Atlas.
The analysis is based on data from seven health plans that represent 7.2 million lives in California. That’s about 55 percent of the state’s entire commercial enrollment, excluding Oakland, Calif.-based Kaiser Permanente, as researchers said its 6 million commercial lives would dominate results.
According to the analysis, members under risk-based contracts saw average quality performance rates of 65.6 percent for professional risk and 67.1 percent for full-risk providers. That’s compared to 57.9 percent for providers with no risk-sharing agreements.
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