The arrangement fuses Premier’s population health model and Anthem’s enhanced personal healthcare model, which provides value-based compensation to providers based on quality measures and shared savings. Under the contract, Premier physicians will be rewarded for lowering costs while meeting National Committee on Quality Assurance measures, among others. In addition, the organizations will share cost, quality and healthcare use data.
The contract includes Anthem employer-based, individual and Medicare Advantage policyholders.
The agreement comes less than a month after Premier Health went out of network with Minnetonka, Minn.-based UnitedHealthcare following the parties’ inability to reach a contract resolution before their May 14 deadline.
More articles on payer issues:
5 areas most at risk of losing insurers on the exchanges
State insurance regulators offer flexibilities to keep payers in individual market
New data illustrates low insurer participation on exchanges in 2017
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.
