Despite the best medical advances and ongoing cutting edge
research, our current health care system is not designed to help individuals
consistently receive the best care available, engage communities in advancing
healthy lifestyles, and control health care costs. Overutilization of services
with questionable benefits, underutilization of services frequently needed, and
variations across providers in how health care is delivered continue to
negatively impact our health care system.
Health plans are working in partnership with physicians,
hospitals, and other clinicians to help change the delivery system by offering
decision support tools, exchange of key health information that helps providers
recognize gaps in care, and innovative payment models that focus on paying for
improved patient care and not volume of services provided. Health plans play a
unique role in these partnerships that emphasize collaborations across multiple
health care settings.
Latest Documents
The private sector is improving health care quality and affordability through the use of alternative approaches to transform care delivery. This issue brief highlights key elements of these approaches such as patient-centered medical home, accountable care and bundled/episode-based models that health plans have implemented in partnership with providers.
Reports/Fact Sheets/Briefs/Talking Points
|
Clinical Affairs
|
01/11/2012
Map of the U.S. showing private sector alternative delivery and payment activity by state – patient centered medical home, accountable care arrangements, bundled or episode of care, and comprehensive global payment models.
Charts
|
Strategic Communications
|
10/28/2011
New health care delivery and payment models in the private sector are being shaped by active collaboration between health insurance plans and providers, according to a new study by America’s Health Insurance Plans (AHIP) that appears in the September edition of Health Affairs.
Articles
|
Strategic Communications
|
09/08/2011
Multimedia Library
|
Center for Policy and Research
Multimedia Library
|
Center for Policy and Research
Multimedia Library
|
Center for Policy and Research
AHIP member company produced video - Amerigroup: Coordinated Case Management
Multimedia Library
AHIP member company produced video - Amerigroup: Dedicated Doctors and Nurses
Multimedia Library
AHIP member company produced video - BCBS of Massachusetts: The Alternative Quality of Contract
Multimedia Library
AHIP member company produced video - Cigna: A Cigna Member Tells How the Health Plan Helped Her Following a Car Accident
Multimedia Library
AHIP member company produced video - Cigna: A Cigna Member with Diabetes Tells How the Health Plan's Wellness Program Turned Her Life Around
Multimedia Library
Multimedia Library
|
Center for Policy and Research
Multimedia Library
|
Center for Policy and Research
Multimedia Library
|
Center for Policy and Research
Multimedia Library
|
Center for Policy and Research
Multimedia Library
|
Center for Policy and Research
Multimedia Library
|
Center for Policy and Research
Multimedia Library
|
Center for Policy and Research
Multimedia Library
|
Center for Policy and Research
Excellus Blue Cross Blue Shield - Keeping Medications Affordable
Multimedia Library
|
Center for Policy and Research
Excellus Blue Cross Blue Shield Video - Overcoming Confusion about Medications after a Hospital or Rehab Stay
Multimedia Library
|
Center for Policy and Research
Excellus Blue Cross Blue Shield Video - Protecting Patients from Adverse Drug Interactions
Multimedia Library
|
Center for Policy and Research
AHIP member company produced video - Group Health Cooperative: Living Well with Chronic Conditions
Multimedia Library
AHIP member company produced video - Group Health Cooperative: The Medical Home
Multimedia Library
HealthPartners Video - Achieving Results that Make a Difference for Diabetes Patients
Multimedia Library
|
Center for Policy and Research
HealthPartners Video - Coaching Patients on Reaching Goals for Better Health
Multimedia Library
|
Center for Policy and Research
Health Partners Video - Empowering Patients with Diabetes to Improve Their Health
Multimedia Library
|
Center for Policy and Research
HealthPartners Video -The Diabetes Wizard
Multimedia Library
|
Center for Policy and Research
AHIP member company produced video - Humana: Humana Cares
Multimedia Library
Independence Blue Cross video - Enabling Doctors and Nurses to Realize their Goals for Excellence
Multimedia Library
|
Center for Policy and Research
Independence Blue Cross's doctors, nurses, medical assistants, and pharmacists work together to make sure that patients have the lab tests, primary and specialty care, and patient support they need to live healthy lives.
Multimedia Library
|
Center for Policy and Research
Kaiser Permanente Video - Making Exercise a Vital Sign
Multimedia Library
|
Center for Policy and Research
Kaiser Permanente Video - Offering Culturally Sensitive Counseling for Weight Loss
Multimedia Library
|
Center for Policy and Research
Kaiser Permanente Video - Using Web-Based Learning and Social Media to Help Patients Lose Weight
Multimedia Library
AHIP member company produced video - Molina: Shorts for Shorties and Check Up or Check Out
Multimedia Library
AHIP member company produced video - SCAN Health Plan: A Better Way to Care
Multimedia Library
AHIP member company produced video - Sentra/Optima Health: The Wellness Payoff
Multimedia Library