News

The latest on managing care, value-based care, insurance markets, payers & providers

And now, a 'report card' from the doctors

When the Pacific Business Group on Health contracts with health plans, it places 2 percent of the premium at risk to promote cooperation between plans and providers. If a plan meets specified targets for "partnering," as PBGH calls it, the plan keeps the portion of the premium at risk. How well do plans meet that goal? According to a PBGH survey of medical groups and independent practice associations in four states, HMOs' relationships with physicians are improving, but there is still a need for closer collaboration.

Physicians were asked to rate the following health plans: In Arizona, Aetna, Blue Cross Blue Shield, Cigna Network Model, HealthPartners, Humana, Intergroup, PacifiCare and United HealthCare; in California, Aetna, Blue Cross CaliforniaCare, Blue Shield, Care America, Cigna, FHP, Foundation, Health Net, PacifiCare and Prudential; in Oregon, HMO Oregon, Providence Good Health Plan, SelectCare, QualMed and PacifiCare; in Washington, Health Plus, First Choice, Providence Good Health Plan, Group Health Northwest, QualMed and PacifiCare. Kaiser Permanente, with its single physician group, was not part of the survey.

SOURCE: PACIFIC BUSINESS GROUP ON HEALTH, SAN FRANCISCO, 1998

Subscribe to Our Newsletters

Monthly table of contents

Be notified as each issue of Managed Care is available online.

Biweekly newsletter

Recent topics have included:

  • Doug Jones and the ACA, Epic misses a White House meeting, and man caves for man-flu sufferers
  • CVS-Aetna deal may trigger merger mania, Johns Hopkins criticized for lack of asthma prevention, & Columbia sees free-ride future for all of its med students

PTCommunity news

New drug approvals, clinical trials, drug management. Three times per week.