NASHVILLE, Tenn., Dec. 16, 2010 /PRNewswire/ -- HealthLeaders-InterStudy, a leading provider of managed care market intelligence, finds that Health Care Service Corp.'s focus on contracting with physicians and hospital systems will improve patient care in its four core states of Illinois, New Mexico, Oklahoma and Texas. According to the National MCO Analyzer: Health Care Service Corp., this shared-savings model represents a change for patient care as provider reimbursement will shift from fee-for-service to performance-based.
These contracting models measure quality, safety, patient satisfaction and cost of care, including prescription drug spending. Contracting with providers and health systems to share the financial risk ensures that healthcare providers will focus on improving patient outcomes. As physicians and health systems focus on improving overall patient health through coordinated care, health systems can expect to see cost savings occur via a reduction in hospital re-admissions and emergency room use.
"Health Care Service Corp. plans to continue contracting with major physicians and hospital systems in their coverage area," said Ric Gross, senior market analyst with HealthLeaders-InterStudy. "In fact, Blue Cross/Blue Shield of Illinois already has experience in contracting with providers to share financial risk in exchange for taking greater control over patient needs. If this kind of contracting continues to be successful, providers and health systems will be driven to continue improving health outcomes and lowering costs long-term."
About National MCO Analyzer
National MCO Analyzer is the account manager's tool for in-depth analysis of national MCO corporate strategies, opportunities and challenges. Profiling the country's largest managed care organizations, each report includes:
- Market analysis from HealthLeaders-InterStudy's managed care market experts, along with an overview of opportunities and challenges for a plan in the year ahead.
- Competitive analysis outlining a managed care organization's strengths, challenges and opportunities.
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