Wednesday, August 22, 2018

And now for some GOOD news

Well, hopefully, anyway:

"Blue Cross and Blue Shield of North Carolina says premiums paid by Affordable Care Act customers in the Triangle will decrease more than 21 percent on average next year because of a new partnership with UNC Health Care."

By teaming up, the health insurance company and the health care provider seem to be blurring the lines between the two health care components, which may actually turn out to be a very good thing:

"We no longer want to be in an adversarial relationship"

A strange take on their current situation; perhaps there's a clue here?

It's basically a modified capitated plan, where Blue Cross pays UNC a set fee per insured, with a mechanism to increase that for folks with more serious (or, perhaps, chronic) conditions, and an emphasis on quality of outcomes versus quantity of care. So far, it's set up as a pilot program available only in a select market of 10 counties, and premiums will be based on the insured's age and county of residence.

Will be interesting to see how this pans out.

[Hat Tip: FoIB Jeff M]

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