Here’s what you need to know.
1. Four state insurers are already spending significant amounts on value-based care. They include:
- Newark, N.J.-based Horizon Blue Cross Blue Shield spends more than 60 percent of its budget on value-based care.
- Hartford, Conn.-based Aetna spends more than 66 percent of its budget on value-based care.
- Minnetonka, Minn.-based UnitedHealthcare pays more than half of its claims to providers in value-based arrangements.
- Cigna spends around 40 percent of its budget on value-based care.
2. Horizon started offering value-based initiatives in 2010 through its Patient Centered Medical Homes program before it scaled to include hospitals. The insurer is developing a model which will integrate mental healthcare with physical treatments in the coming years.
3. Horizon’s efforts are paying off. It has more than 4,000 providers signed to value-based contracts, and it has thwarted more than 3,500 would-be emergency room visits, saving nearly $60 million.
4. UnitedHealthcare has more than a dozen ACOs and is looking to have an 80 percent value-based care provider base in the coming years.
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