Here are five insights:
1. Although BCBS of Georgia is the state’s dominant payer, it has a history of causing issues over contract negotiations with physicians.
2. Mr. Fusile wants to incentivize physicians to promote healthy lifestyles among their patients. Currently, BCBS pays wellness management companies for their efforts, but Mr. Fusile proposes paying the physicians directly for their efforts.
3. Another proposal involves paying physicians and hospitals regular lump sum payments before rendering services.
4. Mr. Fusile hopes these ideas, and others, will smooth relations between BCBS and physicians, placing the payer in the physicians’ favor.
5. The Medical Association of Georgia commented the relationship with the payer has been improving.
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