WellPoint's Patient-Centered Medical Home Pilots Meet Some Cost, Utilization and Quality Goals

Two of Indianapolis-based WellPoint's patient-centered medical home pilots have met early goals of costs, utilization and quality, according to an article in Health Affairs.

WellPoint has invested in ten patient-centered medical home pilots in order to improve outcomes and cost. Two of its pilot systems layer incentive payments for care coordination and quality improvement on top of fee-for-service payment, and those two pilots have been meeting some cost, utilization and quality objectives, according to the article. The other pilot system discussed in the article paid physicians an enhanced fee that is tied to achievement of quality goals. The effectiveness of this pilot system was not discussed in the article.

WellPoint is now applying similar payment models to primary care practices that might not have the resources to become patient-centered medical homes.

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