21 Statistics on Payors Most Willing to Offer Performance-Based Contracts

Tags: accountable care organizations | bundled payments | insurers | payment innovation | payors | providers | satisfaction | survey | transparency

Out of seven major payors, providers ranked UnitedHealthcare last when it came to overall satisfaction but second for willingness to engage in innovative payment models, according to a Medical Group Management Association survey.


In its fifth annual survey, MGMA polled nearly 800 physician practice professionals on payor communications, provider credentialing, contracting, payment policies, system transparency and the payors' willingness to engage in innovative payment models.

Here are some key rankings from MGMA's 2012 report.

What is your overall current satisfaction with the payor?
A score of 1 reflects "completely dissatisfied" while a score of 5 reflects "completely satisfied."

Medicare Part B — 3.53
Cigna — 3.20
Aetna — 3.16
Coventry — 3.00
Anthem — 2.99
Humana — 2.83
United Healthcare — 2.77

How willing is the payor to engage in innovative payment models or offer new/innovative contracts based on concepts such as accountable care, shared savings, medical homes or payment bundling?
A score of 1 reflects "completely unwilling" while a score of 5 reflects "completely willing." A score of 2 reflects "moderately unwilling."

Medicare Part B — 1.95
United Healthcare — 1.82
Aetna — 1.80
Cigna — 1.76
Humana — 1.74
Anthem — 1.75
Coventry — 1.66

How transparent to you are the cost and quality measures used by the payor for its physician rating and/or pay-for-performance programs?
A score of 1 reflects "no transparency" while a score of 5 reflects "complete transparency." A score of 2 reflects "slight transparency."

Medicare Part B — 2.73
Anthem — 2.14
United Healthcare — 2.07
Humana — 2.07
Cigna — 2.06
Aetna — 2.04
Coventry — 2.02

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Report: High-Priced Hospitals in Massachusetts Receive 80% of Payor Dollars

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