Posted by Michael Wonder on 07 Feb 2019
Cigna eclipses 50% in value-based care pay to providers
7 February 2019 - Cigna says it’s paying more than half of its reimbursements to medical care providers in its top markets via value-based models that are quickly overtaking fee-for-service medicine in the U.S.
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 organisations, a delivery system that rewards doctors and hospitals for working together to improve quality and rein in costs.
In Cigna’s case, the insurer said Thursday it “exceeded its value-based care goal” established in 2015 of having “50% of Medicare and commercial health care provider payments through alternative payment arrangements in the company’s top 40 markets by year-end 2018.”
Cigna’s rivals including Aetna and UnitedHealth Group say they’re also paying out more than half of their reimbursements to providers via value-based care models.
