Insurer, MI hospitals switch reimbursement plan
LANSING, Mich. (AP) — Michigan's largest health insurer and a dozen hospitals announced Monday they are starting to carry out a cost-saving deal designed to prevent unnecessary or overused tests and procedures, an attempt to put less emphasis on the traditional way providers are reimbursed for medical services. Blue Cross Blue Shield of Michigan and Trinity Health-Michigan — one of the country's largest Catholic health care systems, which includes 12 hospitals around the state — said the dominant fee-for-service model is not working. They do not plan to drop the traditional model by which providers are reimbursed for each service through agreements with insurers. But hospitals will be rewarded financially for saving money by better coordinating care, preventing re-hospitalizations and improving patients' outcomes.
- 5 Hot Healthcare Ideas from SXSW
- Hospital CEO Turnover Hits Record High
- Why Is Healthcare Price Transparency So Hard?
- EHR Spending Continues, But Jury Still Out on ROI
- 4 Marketing Tactics for Hospitals on Instagram
- Hospital Groups Strike Back at Hospital Rating Systems
- Care Coordination a Cost-Cutting Quality Driver
- Adverse Events from Insulin Prescribing 'An Epidemic'
- Lahey Health Reexamines the Appropriate Care Model
- Payers Detail Strategies That Drive Consumer Satisfaction