Outcomes-Based Contracts Gain Momentum

1. Wellpoint launches new plan for reimbursement with physicians based on outcomes.
2. CMS puts 1% of all hospital reimbursements at risk/reward for specific outcomes in 2013.
3. Optum launches GoH! to engage employees in prevention and health management.
4. SeeChange health creates platform for reduction in benefit costs when health activities are recorded.
5. Berkeley Center for Health Technology creates white paper on accountable care and bundling of reimbursement based upon outcomes.
6. 10% of respondents to Center for Health Value Innovation survey have an outcomes-based contract in place for pharmaceutical and clinical treatments.
7. Articles in Bio-Pharma and Specialty Solutions media increase voice of outcomes-based contracts based upon appropriate care for appropriate patients.
8. Benefits leaders are now discussing varieties of outcomes-based contracts for engagement and attainable goals.
9. Emerging technologies and services (HealthPer, Medical Home Exchange, WellPortal, Generation One, StatDocs,Castlight), create OBC integration.
10. States begin to adopt Medicaid plans that lower out of pocket fees for beneficiaries if they are compliant to treatment and lower their risks.
11. Uptake in the use of the Health Value Accelerator show more acceptance and requests for OBC.
12. CIGNA, Aetna, and others create OBC in engagement, complex specialty solutions, and more.

Source: Evidence accumulated through environmental scans, Health Value Accelerator, and members of Center for Health Value Innovation
Source URL: http://www.vbhealth.org

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