7 updates on payer, provider relationships

Seven recent articles posted by Becker's Hospital Review that concern payer-provider relationships:

1. As major health insurance companies are getting into the business of owning primary care practices, Anthem is pursuing a different strategy.

2. Seven hospitals and physician groups agreed if their costs surpass a specific target, they will pay the difference back to Blue Cross Blue Shield of Michigan under a new risk-sharing program.

3. In the commercial sector, most physician and hospital payments are being made through alternative payment methods — but nearly all of those methods are built on fee-for-service functions.

4. Humana will launch two programs to better coordinate kidney disease management for patients in four states.

5. For the first time, Blue Cross & Blue Shield of Rhode Island created a bundled payment arrangement for outpatient joint replacements.

6. Health First, a Rockledge, Fla.-based hospital system and insurer, reached an eleventh-hour agreement with Florida Blue to contract for services.

7. A contract dispute between San Francisco-based Dignity Health and Cigna could result in most Dignity providers being out of network with the health insurer beginning in 2020.

More articles on payers:
Optum's 'city by city' healthcare strategy: 4 things to know
Humana accidentally auto-billed 25,000 members for 100 times their owed fees
Anthem CEO: Investments will focus on data, analytics

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