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Health Plans Talk Strategy in 3Q Earnings Calls

Margaret Dick Tocknell, for HealthLeaders Media, November 6, 2013

Provider partners
As the delivery of healthcare services shifts from volume to value, payers and providers are forming collaborative risk-sharing agreements that focus on care coordination and the management of chronic conditions. For example, Aetna is building high-performance networks in several states, including one in Virginia with Bon Secours.

And Cigna just added nine new collaborative accountable care programs to its tally and now has 75 relationships in place across the country. UnitedHealth created an ACO in Wisconsin that includes a collaborative of four hospital systems and the Medical College of Wisconsin.

WellPoint CEO Joseph Swedish, reported that the giant insurer is seeing a lot of provider interest in payment reform and it is expanding its provider relationships based on value-based payment methodologies. It has more than 50 ACOs in place and more than 700 hospitals are part of its pay-for-performance system.


Margaret Dick Tocknell is a reporter/editor with HealthLeaders Media.
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