Reimbursement

Health reform among
private payers

Commercial health plans and private payers are implementing their own brand of health reform.

 

  • Aetna, Cigna, United Healthcare, Blue Cross Blue Shield plans, and others have developed hundreds of accountable care organizations.
  • Private plans are also using other health reform tools, such as patient centered medical homes and bundled payments.

 

Private payers describe these efforts as “value-based care” or “accountable care” because they base a portion of a provider’s payment on how well it improves outcomes and cost control. In 2014, two dozen insurers and health care providers announced their commitment to move 75% of their business to value-based contracts by 2020.

Number of people covered by ACOs, 2016