Managed Care

 

Health Plan Refines Effort To Tier Hospitals

MANAGED CARE October 2002. © MediMedia USA
News and Commentary

Health Plan Refines Effort To Tier Hospitals

MANAGED CARE October 2002. ©MediMedia USA

Responding to rapid hikes in hospital costs, Blue Shield of California updated a rating system that lets members know how their choice of hospital influences out-of-pocket costs.

The plan used quality- and patient-experience data to develop the tier system. Under the program, hospitals are grouped in affiliate or choice categories. Members using affiliate hospitals pay a copayment or a coinsurance fee. The new ratings took effect Oct. 1.

Meetings

4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015