Highmark launched a pilot PCMH in 2011 that included 12 physician practices and covered about 45,000 members. It reduced costs by nearly 2 percent while the costs for the remainder of Highmark’s members grew.
The pilot program also resulted in a 9 percent reduction for inpatient acute admissions, 13 percent reduction in 30-day readmission rates and a 14 percent reduction in 7-day readmission rates.
The expanded model will include more than 100 physician practices and covers approximately 171,000 Highmark members. During the next three years, Highmark hopes to have about 75 percent of members in some kind of pay-for-value arrangement.
More Articles on Highmark:
Highmark to Buy West Penn Debt, Salvages Merger Proposal
Highmark, West Penn Bondholders Agree to Skirt Bankruptcy
Highmark to Finalize Purchase of St. Vincent Health in Early 2013
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
