Forbes February 2, 2017
The nation’s largest health insurers say they are paying out almost half of their reimbursements via value-based care models sweeping the U.S. medical system.
UnitedHealth Group and Aetna appear to be the furthest along in moving quickly from the traditional fee-for-service approach that can lead to overtreatment and unnecessary medical tests and procedures. And rival Anthem, which operates Blue Cross and Blue Shield plans in 14 states, isn’t far behind.
Value-based pay is tied to health outcomes, performance and quality of care of medical-care providers who contract with insurers via alternative payment vehicles like accountable care organizations (ACOs), a delivery system that rewards doctors and hospitals for working together to improve quality and rein in costs.
In these models, doctors...
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